JEMILA ALI
NPI 1417626771
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
3950 SPARKS DR SE, GRAND RAPIDS, MI 49546(616) 726-1318 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2024, Nov 16, 2023, Sep 28, 2022 and 1 more (4 updates tracked since 2021).

About Jemila Ali NPPES

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

JEMILA ALI (NPI 1417626771) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (4704274701) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417626771
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEMILA ALI
Location Address3950 SPARKS DR SEGrand Rapids, MI 49546-6159
Mailing Address3475 Belle Chase WayLansing, MI 48911-4252 · (517) 882-3732
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 9, 2021
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1417626771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704274701
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 470474701 (MI)
3950 SPARKS DR SE, Grand Rapids, MI 49546

Other Identifiers 1

Other0D12824MI · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jemila Ali 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 ID1254719958
PECOS Enrollment IDI20220609000215
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jemila Ali reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1308 N BURDICK ST
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 75 clinicians in this Medicare group
Psychologist
7600 GRAND RIVER RD, SUITE 290
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 451 clinicians in this Medicare group
Addiction (Substance Use Disorder)
1525 UNIVERSITY DR
Auburn Hills, MI 48326
  • Reassigned Medicare billing, Michigan enrollment
  • 63 clinicians in this Medicare group
Clinical
330 LINCOLN AVE
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 34 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services15 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
27 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jemila Ali's NPI number?

The NPI number for Jemila Ali is 1417626771. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Jemila Ali located?

Jemila Ali practices at 3950 Sparks Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 726-1318.

What is Jemila Ali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jemila Ali enrolled in Medicare?

Yes. Jemila Ali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jemila Ali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jemila Ali reassigns Medicare benefits to 4 organizations: Family Health Center, Inc. (Kalamazoo, MI), Downriver Mental Health Clinic PC (Brighton, MI), Recovery Physicians Network Of Michigan (Auburn Hills, MI) and Supportive Care I Of Michigan PC (Iron River, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jemila Ali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jemila Ali accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jemila Ali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jemila Ali was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.