JESSICA VIRGINIA MEREDITH DO
NPI 1922940204
Student in an Organized Health Care Education/Training Program in Warren, MI

Q: What is Jessica Meredith's NPI number?

The NPI number for Jessica Meredith is 1922940204. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Q: What is Jessica Meredith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Meredith was last updated on April 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 April 07, 2026PECOS Enrolled

30117 SCHOENHERR RD STE 400, WARREN, MI 48088(586) 738-9470(586) 738-9469 Get Directions Write a Review

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

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About Jessica Virginia Meredith Do NPPES

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

JESSICA VIRGINIA MEREDITH DO (NPI 1922940204) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922940204

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA VIRGINIA MEREDITHCredential: DO

Location Address30117 SCHOENHERR RD STE 400Warren, MI 48088-6854

Mailing Address30117 Schoenherr Rd Ste 400Warren, MI 48088-6854 · (586) 738-9470 · Fax (586) 738-9469

Phone(586) 738-9470

Fax(586) 738-9469

Sole ProprietorYes

Enumeration DateApril 7, 2026

NPPES CertifiedApril 7, 2026

✔ NPI 1922940204 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.

30117 SCHOENHERR RD STE 400, Warren, MI 48088

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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)

Jessica Virginia Meredith Do 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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH ANTONY DO

Student in an Organized Health Care Education/Training Program