MICHELLE JENNINGS

Adult Health Nurse Practitioner · SURPRISE, AZ

Individual Active NPI 1104334077

Medicare payment data Part B · 2023

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2023	57	171	$21,226	$9,575	$6,947
2022	59	224	$29,611	$13,812	$12,025

Taxonomy & licensure

Specialty	Code	Primary	License	State
Adult Health Nurse Practitioner	363LA2200X	✓	20124	AZ
Adult Health Nurse Practitioner	363LA2200X		5010178	NC

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.