Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Jewell, FNP-C

Individual provider Family Nurse Practitioner · NPI 1902419104

Jacob Jewell, FNP-C is a Nurse Practitioner in Saint Clair Shores, Michigan. Qualified in 2020, 6 years ago. Practices with Complexcare Medical Group Midwest H PLLC, a 127-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081-3203
Phone: (586) 771-4820
Fax: (586) 771-6620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704301664 (MI)

Record details

NPI number1902419104
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 26, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Complexcare Medical Group Midwest H Pllc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Clair Shores