KRISHNA JAKKULA NP-C
NPI 1558719906
Nurse Practitioner - Primary Care in Detroit, MI

Q: What is Krishna Jakkula's NPI number?

The NPI number for Krishna Jakkula is 1558719906. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Q: What is Krishna Jakkula's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Krishna Jakkula was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(248) 522-7848(248) 919-0791 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Oct 10, 2016 (2 updates tracked since 2016).

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About Krishna Jakkula Np-c NPPES

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

KRISHNA JAKKULA NP-C (NPI 1558719906) is an individual primary care provider in Detroit, Michigan, licensed in Michigan (4704268080) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health West Bloomfield Hospital, and maintains a secondary practice location in Westland.

NPPES Registry Identity

NPI1558719906

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameKRISHNA JAKKULACredential: NP-C

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608 · Fax (248) 919-0791

Phone(248) 522-7848

Fax(248) 919-0791

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 26, 2016

Last NPPES UpdateMay 7, 20262 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1558719906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP2300X

License✔ Licensed in MI · 4704268080

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 4704268080 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

Open in Google Maps ↗

Secondary Practice Location 1

Location 134290 Ford RdWestland, MI 48185-3051 · Phone (313) 921-4700 · Fax (313) 921-4125

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.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

Krishna Jakkula Np-c 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 ID2365724614

PECOS Enrollment IDI20170120001317

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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.

HENRY FORD HOSPITAL

General Acute Care Hospital