KIMBERLY MARIE JASKULKA NURSE PRACTITIONER
NPI 1780406348
Nurse Practitioner - Gerontology in Davison, MI
About Kimberly Marie Jaskulka Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY MARIE JASKULKA NURSE PRACTITIONER (NPI 1780406348) is an individual gerontology provider in Davison, Michigan, licensed in Michigan (4704205403) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Kimberly Marie Jaskulka Nurse Practitioner 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kimberly Jaskulka's NPI number?
The NPI number for Kimberly Jaskulka is 1780406348. It was assigned to this individual provider in the NPPES registry on October 25, 2024.
Where is Kimberly Jaskulka located?
Kimberly Jaskulka practices at 9502 Country Club Ln, Davison, MI 48423. The listed phone number is (810) 577-1871.
What is Kimberly Jaskulka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kimberly Jaskulka enrolled in Medicare?
Yes. Kimberly Jaskulka 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.
When was this NPI record last updated?
The NPPES record for Kimberly Jaskulka was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Kimberly Marie Jaskulka, NURSE PRACTITIONER · NPI 1780406348
Gerontology physician in Davison, Michigan. Individual provider, active in the CMS NPPES registry since October 25, 2024.
## Identity
- **NPI:** 1780406348 (Entity type: Individual)
- **Enumerated:** October 25, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 4704205403 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9502 COUNTRY CLUB LN, Davison, MI 48423-7801
- **Phone:** (810) 577-1871
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780406348) · Data from the CMS NPPES public registry.