JASMINE JERNEISE MCCULLOUGH FNP
NPI 1225843733
Nurse Practitioner - Family in Novi, MI

Q: What is Jasmine Mccullough's NPI number?

The NPI number for Jasmine Mccullough is 1225843733. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Q: What is Jasmine Mccullough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 11, 2025PECOS EnrolledAccepts Medicare Assignment

41800 W 11 MILE RD STE 109, NOVI, MI 48375(248) 660-1220 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Feb 18, 2025, Feb 11, 2025 (3 updates tracked since 2025).

On this page

About Jasmine Jerneise Mccullough Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMINE JERNEISE MCCULLOUGH FNP (NPI 1225843733) is an individual family provider in Novi, Michigan, licensed in North Carolina (5021831) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225843733

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJASMINE JERNEISE MCCULLOUGHCredential: FNP

Location Address41800 W 11 MILE RD STE 109Novi, MI 48375-1818

Mailing Address41800 W 11 Mile Rd Ste 109Novi, MI 48375-1818 · (248) 660-1220

Phone(248) 660-1220

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 11, 2025

Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1225843733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NC · 5021831✔ Licensed in SC · 29963

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5021831 (NC), 29963 (SC)

41800 W 11 MILE RD STE 109, Novi, MI 48375

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jasmine Jerneise Mccullough Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183148000

PECOS Enrollment IDI20250411002003

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENVER MOSES NP

Nurse Practitioner (Primary Care)