Jackson Shriver
NPI 1619613585 · Student in an Organized Health Care Education/Training Program · Ann Arbor, MI
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Shriver is a Student in an Organized Health Care Education/Training Program provider in Ann Arbor, MI (NPI 1619613585).
Provider details
- NPI number
- 1619613585
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- 4351048984 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 4351048984 (MI)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2022-05-12
- Certified
- 2022-05-12
Frequently asked questions
- What is Jackson Shriver's NPI number?
- Jackson Shriver's National Provider Identifier (NPI) is 1619613585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Shriver's specialty?
- Jackson Shriver is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jackson Shriver located?
- Jackson Shriver's practice location on file with NPPES is 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000.
- What is Jackson Shriver's phone number?
- The practice phone number listed in the NPPES registry for Jackson Shriver is (734) 998-2020.
- Does Jackson Shriver accept Medicare?
- Jackson Shriver is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Shriver's NPI active?
- Yes — Jackson Shriver's NPI (1619613585) is active in the NPPES registry as of the last update on 2022-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.