CMS-1500 Box 24J / 33a • NPI
1316429905
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LG0600X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology
Box 32 Service Location & ZIP+4
4760 FASHION SQUARE BLVD STE L-1, SAGINAW, MI, 48604-2620
✓ 9-Digit EDI 837 ZIP+4 (48604-2620)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1316429905 (JENNIFER BARNHART, AGPCNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1316429905 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JENNIFER BARNHART, AGPCNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology NUCC Code: 363LG0600X (Nurse Practitioner, Gerontology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4760 FASHION SQUARE BLVD STE L-1, SAGINAW, MI, 48604-2620 |
| Practice Telephone / Fax | Tel: (989) 282-4003 | Fax: (888) 491-7220 |
| Administrative Mailing Address | 801 ROSEHILL RD, JACKSON, MI, 49202-1762 |
| Enumeration & Last Sync | Enumerated: 2018-08-30 | CMS Record Updated: 2025-02-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LG0600X)
What Does Taxonomy Code 363LG0600X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LG0600X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JENNIFER BARNHART, AGPCNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: CT | License: 7817 | Primary: Secondary |
363LG0600X — Nurse Practitioner, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology | State: CT | License: 7817 | Primary: Secondary |
363LG0600X — Nurse Practitioner, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology | State: MI | License: 4704362539 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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