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Active NPI 1063000545 Individual Practitioner Female Practitioner

Jaclyn Riley

Nurse Practitioner • Canton, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jaclyn Riley is a certified Nurse Practitioner practicing in Canton, MI. With approximately 7 years of clinical experience since completing medical education in 2019, Jaclyn Riley delivers high-quality medical care to the local community at 2050 N HAGGERTY RD STE 200.

Jaclyn Riley is affiliated with Beaumont Medical Group- Specialty Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2050 N Haggerty Rd Ste 200

Canton, MI 481873796

Telephone 3135503353

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -3.2 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Canton, MI (3626 Statewide)

Telehealth Adoption Rate
21.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Riley (7 Years) 7 Yrs
Canton Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
223 179 $327.35 $108.52
93000 Routine ekg using at least 12 leads including interpretation and report
96 95 $33.00 $12.29
99213 Established patient office or other outpatient visit, typically 15 minutes
39 38 $222.23 $77.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
36 19 $156.50 $67.13

Medical Specialties & State Licenses

CMS Verified: 2023-09-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704347010

(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.

Hospital & Practice Group Affiliations

Beaumont Medical Group- Specialty Services

28100 Grand River Ave, Farmington Hills, MI 483365970

Beaumont Medical Group- Specialty Services

44201 Dequindre Rd, Troy, MI 480851117

Phone: 2489640535

Beaumont Medical Group- Specialty Services

18100 Oakwood Blvd, Dearborn, MI 481244085

Beaumont Medical Group- Specialty Services

33155 Annapolis St, Wayne, MI 481842405

Phone: 7344674000

Beaumont Medical Group- Specialty Services

33101 Annapolis St, Wayne, MI 481842405

Phone: 7344672670

Beaumont Medical Group- Specialty Services

44201 Dequindre Rd, Troy, MI 480851117

Phone: 2489645000

Beaumont Medical Group- Specialty Services

2050 N Haggerty Rd, Canton, MI 481873796

Beaumont Medical Group- Specialty Services

18101 Oakwood Blvd, Dearborn, MI 481244089

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Mohamad Kabbani , MD

Internal Medicine - Cardiovascular Disease

NPI 1114997822

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated September 29, 2023

Recorded as JACLYN RILEY

📍
Updated Practice Location March 23, 2023

Registered at 2050 N HAGGERTY RD STE 200, CANTON, MI 481873796 (Tel: 3135503353)

NPI Profile Active January 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2021

Registered at 1221 PINE GROVE AVE, PORT HURON, MI 480603511 (Tel: 3135503353)

📍
Updated Business Mailing Address January 11, 2021

Registered at 1083 BEACONSFIELD AVE, GROSSE POINTE PARK, MI 482301346 (Tel: 3135503353)

👤
Provider Name / Credentials Updated January 11, 2021

Recorded as JACLYN ONSTWEDDER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2021

Nurse Practitioner (License #4704347010 in MI)

🟢
Initial NPI Registration & Enumeration January 09, 2021

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: 1063000545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2021
Last Update: September 29, 2023
Sole Proprietor: No

Mailing Address

1083 Beaconsfield Ave

Grosse Pointe Park, MI 482301346

Phone: 3135503353

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.