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JASMINE POLICHERLA
NPI 1902426612
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 22, 2020PECOS Enrolled
4201 SAINT ANTOINE ST # ST9C, DETROIT, MI 48201(313) 745-1892 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasmine Policherla NPPES

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

JASMINE POLICHERLA (NPI 1902426612) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902426612
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJASMINE POLICHERLA
Location Address4201 SAINT ANTOINE ST # ST9CDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St # St9cDetroit, MI 48201-2153
Phone(313) 745-1892
Sole ProprietorNo
Enumeration DateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1902426612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST # ST9C, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasmine Policherla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jasmine Policherla's NPI number?

The NPI number for Jasmine Policherla is 1902426612. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Jasmine Policherla located?

Jasmine Policherla practices at 4201 Saint Antoine St # St9c, Detroit, MI 48201. The listed phone number is (313) 745-1892.

What is Jasmine Policherla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jasmine Policherla enrolled in Medicare?

Yes. Jasmine Policherla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jasmine Policherla was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.