Individual provider Active NPI

Tammy Sue Jurgess, NP

  • Family Nurse Practitioner
  • Cass City, MI
National Provider Identifier
1003464165
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704242122 Issued in MI
Practice address
4675 Hill St
Cass City, MI 48726-1008
Phone
(989) 872-2121
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704242122 MI Primary

Addresses

Primary practice location

4675 Hill St
Cass City, MI 48726-1008

Mailing address

860 Huron Crest Dr
Bad Axe, MI 48413-7908
Phone (989) 315-1497

Other practice location 1

130 Millwood St
Caro, MI 48723-1630
Phone (989) 672-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191206002237 MI Practitioner - Nurse Practitioner 1456784354 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Millwood St
Caro, MI 48723-1630
Phone (989) 672-1555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hills & Dales General Hospital, Inc. CurrentSince Feb 20, 2023 Accepting new patients
Deckerville Community Hospital, Inc CurrentSince Dec 1, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Feb 20, 2023 Accepting new patients
Marlette Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Oct 1, 2025 Accepting new patients
McLaren Thumb Region PastSince May 10, 2020 Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Locations

130 Millwood St
Caro, MI 48723
Phone (989) 672-1555

4675 Hill St
Ste A
Cass City, MI 48726
Phone (989) 872-8202

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

650 W Sanilac Rd
Ste 1
Sandusky, MI 48471

650 W Sanilac Rd
Sandusky, MI 48471
Phone (989) 912-6725

Interoperability endpoints

  • Direct secure messaging: tjurgess68085@direct.covenanthealthcare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1003464165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HURON CREST DR",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484137908",
            "telephone_number": "989-315-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261008",
            "telephone_number": "989-872-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Millwood St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231630",
            "country_code": "US",
            "telephone_number": "989-672-1555",
            "fax_number": "989-672-1560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURGESS",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704242122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cass City, MI

Sources for this page

Verify at the official NPI Registry.