JOLENE KASSAB FNP
NPI 1508442880
Nurse Practitioner - Family in West Bloomfield, MI
About Jolene Kassab Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLENE KASSAB FNP (NPI 1508442880) is an individual family provider in West Bloomfield, Michigan, licensed in Michigan (4704330629) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jolene Kassab Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jolene Kassab's NPI number?
The NPI number for Jolene Kassab is 1508442880. It was assigned to this individual provider in the NPPES registry on March 18, 2021.
Where is Jolene Kassab located?
Jolene Kassab practices at 3212 Winchester Rd, West Bloomfield, MI 48322. The listed phone number is (248) 763-8266.
What is Jolene Kassab's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jolene Kassab enrolled in Medicare?
Yes. Jolene Kassab is registered in the Medicare PECOS enrollment system.
What insurance does Jolene Kassab accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jolene Kassab 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 Jolene Kassab was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jolene Kassab, FNP · NPI 1508442880
Family physician in West Bloomfield, Michigan. Individual provider, active in the CMS NPPES registry since March 18, 2021.
## Identity
- **NPI:** 1508442880 (Entity type: Individual)
- **Enumerated:** March 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704330629 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3212 WINCHESTER RD, West Bloomfield, MI 48322-2420
- **Phone:** (248) 763-8266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508442880) · Data from the CMS NPPES public registry.