Jessica Mastbergen, NP in Traverse City, MI - Medicare Nurse Practitioner

Jessica Mastbergen, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Traverse City, Michigan. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grand Traverse Internists Pc and her current practice location is 5015 N Royal Dr, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-0850.

Jessica Mastbergen is licensed to practice in Michigan (license number 4704301869) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023501699.

Contact Information

	Jessica Mastbergen, NP
	5015 N Royal Dr, Traverse City, MI 49684-9292
	(231) 935-0850
	(231) 935-0869

Map and Direction

Provider's Profile

Full Name	Jessica Mastbergen
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	5015 N Royal Dr, Traverse City, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Mastbergen graduated from nursing school in 2018

NPI Data:

NPI Number: 1023501699
Provider Enumeration Date: 06/08/2018
Last Update Date: 06/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5395092233
Enrollment ID: I20180723003518

Medical Identifiers

Medical identifiers for Jessica Mastbergen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023501699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	4704301869 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Munson Medical Center	Traverse city, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grand Traverse Internists Pc	0042374977	8

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Mastbergen allows following entities to bill medicare on her behalf.

Entity Name	Grand Traverse Internists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578559365 PECOS PAC ID: 0042374977 Enrollment ID: O20090121000604

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Mastbergen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Mastbergen, NP 5015 N Royal Dr, Traverse City, MI 49684-9292 Ph: (231) 935-0850	Jessica Mastbergen, NP 5015 N Royal Dr, Traverse City, MI 49684-9292 Ph: (231) 935-0850

Reviews and Comments

Nurse Practitioner Nurses in Traverse City, MI

Harriet Sue Barner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801
Ms. Christine Marie Sykes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684 Phone: 231-947-1112
Kellie Ann Herringa, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801
Ms. Karri G Hagan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686 Phone: 231-421-6921 Fax: 231-421-7852
Matthew Nathan Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 E River Rd, Traverse City, MI 49696 Phone: 734-730-2793
Carol Jean Sodman, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 E 8th St, Traverse City, MI 49686 Phone: 231-929-1844 Fax: 231-949-2084
Laura A. Schmidt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 W Front St, Traverse City, MI 49684 Phone: 231-995-3657

Jessica Mastbergen, NP - Medicare Nurse Practitioner in Traverse City, MI