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Deactivated NPI 1811985674 Deactivated / Inactive NPI Female Practitioner

Jill W Holwerda , APRN BC FNP

Nurse Practitioner • Bridgeport, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jill Holwerda has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2005
NPI Deactivation Date August 12, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Jill Holwerda, APRN BC FNP was a registered Nurse Practitioner practicing in Bridgeport, MI. Throughout an active medical career spanning 14 years, Jill Holwerda provided care at the practice location at 6297 DIXIE HWY until profile deactivation on 2019-08-12.

Practice Location & Contact Primary Location

Practice Address

6297 Dixie Hwy

Bridgeport, MI 487229635

Telephone 9897772151
Fax 9897773010
Associated Practice Facility / Clinic
🏢 Health Delivery Pharmacy Facility NPI 1740222520

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bridgeport, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Bridgeport, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704128350

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Joo Young Rhee , DDS

Dentist - General Practice

NPI 1063834000

Doctor of Dental Surgery

Andrea Mosley-Cotton

Community Health Worker

NPI 1154196988
Deyaaeddin Alnaas

Dentist - General Practice

NPI 1336642636
Steven Ochoa

Nurse Practitioner - Family

NPI 1366213647
NPI 1447248232

Doctor of Medicine (M.D.)

Amanda Graham , FNP

Nurse Practitioner

NPI 1447500137

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 12, 2019

Record deactivated on August 12, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6297 DIXIE HWY, BRIDGEPORT, MI 487229635 (Tel: 9897772151)

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Updated Business Mailing Address July 08, 2007

Registered at 3605 DAVENPORT AVE, SAGINAW, MI 486023310 (Tel: 9897928751)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JILL HOLWERDA, APRN BC FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #4704128350 in MI)

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Initial NPI Registration & Enumeration October 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811985674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2005
Last Update: July 08, 2007
Deactivation Date: August 12, 2019

Mailing Address

3605 Davenport Ave

Saginaw, MI 486023310

Phone: 9897928751

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.