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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEANNE JENNAE PRIDEMORE FNP-C
NPI 1871428334
Nurse Practitioner in Troy, MI

Active since June 16, 2026PECOS Enrolled
44201 DEQUINDRE RD, TROY, MI 48085(248) 964-3590 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeanne Jennae Pridemore Fnp-c NPPES

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

JEANNE JENNAE PRIDEMORE FNP-C (NPI 1871428334) is an individual nurse practitioner in Troy, Michigan, licensed in Michigan (4704325133) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1871428334
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJEANNE JENNAE PRIDEMORECredential: FNP-C
Location Address44201 DEQUINDRE RDTroy, MI 48085-1117
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(248) 964-3590
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJune 16, 2026
Last NPPES UpdateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1871428334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704325133
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
44201 DEQUINDRE RD, Troy, MI 48085
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanne Jennae Pridemore Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951868256
PECOS Enrollment IDI20260806002339
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 Reassignment

Medicare enrollment records show Jeanne Pridemore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaumont Medical Group Hospital -Based Services
8.8 mi
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 946 clinicians in this Medicare group
NPI 1427567858 (248) 898-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 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.

HARINI ERUPAKA REDDY M.D.
Pediatrics
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-1007
JOSLEEN ALBISHARA
Pharmacist
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
STEPHANIE ANNE DAVENPORT PAC
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-4866
KRISTEN M LIGHT DNP, RN, AGPCNP-BC
Nurse Practitioner (Primary Care)
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
ELLEN O MCGUIRE
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-4866
SAMANTHA GRACE HENDERSON PA-C
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
DAVID DONALDSON
Emergency Medicine
44201 DEQUINDRE RD, EC
TROY, MI 48085
Oakland County (248) 964-8787
SHARON LINDOW
Speech-Language Pathologist
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000

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 Jeanne Pridemore's NPI number?

The NPI number for Jeanne Pridemore is 1871428334. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Jeanne Pridemore located?

Jeanne Pridemore practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-3590.

What is Jeanne Pridemore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeanne Pridemore enrolled in Medicare?

Yes. Jeanne Pridemore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanne Pridemore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Pridemore reassigns Medicare benefits to Beaumont Medical Group Hospital -Based Services (Royal Oak, MI). The 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 Jeanne Pridemore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanne Pridemore was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.