IndividualActive
Jerrry Indra, PRC
NPI 1003512955 · Peer Specialist · Flint, MI
Jerrry Indra, PRC is a Peer Specialist provider in Flint, MI (NPI 1003512955).
Provider details
- NPI number
- 1003512955
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PRC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
765 E Hamilton Ave
Flint, MI 48505-4707
Phone: (810) 233-5340
Street-level locationGet directions
Mailing address
765 E Hamilton Ave
Flint, MI 48505-4707
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Frequently asked questions
- What is Jerrry Indra's NPI number?
- Jerrry Indra's National Provider Identifier (NPI) is 1003512955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerrry Indra's specialty?
- Jerrry Indra is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jerrry Indra located?
- Jerrry Indra's practice location on file with NPPES is 765 E Hamilton Ave, Flint, MI 48505-4707.
- What is Jerrry Indra's phone number?
- The practice phone number listed in the NPPES registry for Jerrry Indra is (810) 233-5340.
- Is Jerrry Indra's NPI active?
- Yes — Jerrry Indra's NPI (1003512955) is active in the NPPES registry as of the last update on 2023-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.