Jaina Samuel
Jaina Samuel is an Acute Care Nurse Practitioner in Detroit, MI, registered under NPI 1003379314. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Detroit, based on OpenStreetMap data collected Aug 30, 2026. Parking is available about 659 ft away. The nearest transit stop is 745 ft away, served by Moross / Chandler Park Dr (EB).
Getting here and what is nearby
Parking 205 ft ~1 min
Parking 289 ft ~2 min
Parking 659 ft ~3 min
Transit Moross / St John Hospital (WB) 665 ft ~3 min
Transit St John Hospital (Rt 8) 735 ft ~3 min
Transit Moross / Chandler Park Dr (EB) 745 ft ~3 min
Restaurant Buddy's Pizza 901 ft ~4 min
19163 Mack Avenue, Detroit 48236
Su-Th 11:00-20:00; Fr-Sa 11:00-21:00
Gas station Shell 0.28 mi ~6 min
19100 Mack Avenue, Grosse Pointe Farms 48236
Convenience Shell 0.29 mi ~6 min
Restaurant Culver's 0.33 mi ~7 min
Convenience Shell 0.40 mi ~9 min
Gas station Shell 0.41 mi ~9 min
18701 Mack Avenue, Detroit 48236
Restaurant Wendy's 0.41 mi ~9 min
18800 Mack Avenue, Grosse Pointe Farms 48236
06:30-22:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4704247931 | MI | Acute Care Nurse Practitioner primary |
| 4704247931 | MI | Medical-Surgical Registered Nurse |
This provider holds licence 4704247931 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 9830623032
- Enrollment ID
- I20241111002620
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Acute Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2100X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LA2100X | Acute Care Nurse Practitioner Acute Care | 4704247931 | MI | primary |
| 163WM0705X | Medical-Surgical Registered Nurse Medical-Surgical | 4704247931 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003379314 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 12, 2019 |
| Last updated | Apr 3, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Practice address |
22101 MOROSS RD Detroit, MI 48236 (313) 343-4000 |
| Mailing address |
49409 W CENTRAL PARK Shelby Twp, MI 48317 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 7 | 9 | 3 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 7 | 9 | 3 | 2 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.