Teresa Ann Plummer, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Sault Sainte Marie, MI
NPI 1003389537 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1003389537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704279504 (MI)
- Practice address
- 2861 Ashmun St Ste 6
Sault Sainte Marie, MI 49783-3765 - Phone
- (906) 635-8877
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sault Tribe of Chippewa Indians
Practice addresses (Care Compare)
2864 Ashmun St
Sault S Marie, MI 49783-3740
Phone (906) 632-5200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190227000220 | MI | Practitioner - Nurse Practitioner | 8325387970 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sault Tribe of Chippewa Indians | Current | Accepting new patients | |
| Sault Tribe of Chippewa Indians | Current |
Accepting new patients | |
| Sault Tribe of Chippewa Indians | Family | Current |
Accepting new patients |
| Sault Tribe of Chippewa Indians | Current | Accepting new patients | |
| Sault Tribe of Chippewa Indians | Current | Accepting new patients |
Locations
2861 Ashmun St
Ste 6
Sault Sainte Marie, MI 49783
Phone (906) 635-8877
2864 Ashmun St
Sault South Marie, MI 49783
Phone (906) 632-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704279504 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704279504 | MI | Yes |
Addresses
Primary practice location
2861 Ashmun St Ste 6
Sault Sainte Marie, MI 49783-3765
Mailing address
2861 Ashmun St Ste 6
Sault Sainte Marie, MI 49783-3765
Phone (906) 635-8877
Other providers in Sault Sainte Marie, MI
- Allison Pavlat
- PDS I Michigan Inc
- Jeffrey Peterman
- Phillip W. Niemi, D.O.,P.C.
- Sarah Piepszowski
- Morgan Elizabeth Pollard
- Lura Margaret Porter
- Alicia Portice
- Amy Postma
- Tina M Pountney
All providers in Sault Sainte Marie, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.