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

Jacob Newell

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1184503245

Jacob Newell is a Nurse Practitioner in Lake Orion, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025

Practice location Address checks out

2945 Mountain Vw Apt 202
Lake Orion, MI 48360-2606
Phone: (267) 393-6671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704384619NSA250PU (MI)

Record details

NPI number1184503245
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2025
Last updated in NPPESSeptember 1, 2025
Certification dateSeptember 1, 2025
Mailing address2945 Mountain Vw Apt 202, Lake Orion, MI 48360-2606

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lake Orion