IndividualActive
Jesse Roder
NPI 1376374017 · Community Health Worker · Fulton, MI
Provider details
- NPI number
- 1376374017
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1474 Mno-Bmadzewen Way
Fulton, MI 49052
Phone: (269) 406-0599
Approximate (ZIP-level) locationGet directions
Mailing address
1474 Mno-Bmadzewen Way
Fulton, MI 49052
Registry dates
- Enumerated
- 2024-08-13
- Last updated
- 2024-08-13
- Certified
- 2024-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.