NPIMap

Individual provider Active NPI

Jill Elizabeth Vollbrecht, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
National Provider Identifier
1013130525
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301083009 Issued in MI
Practice address
5015 N Royal Dr
Traverse City, MI 49684-9292
Phone
(231) 935-0850
Fax
(231) 935-0850
NPI assigned
Apr 11, 2007
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301083009 MI Primary

Addresses

Primary practice location

5015 N Royal Dr
Traverse City, MI 49684-9292

Mailing address

5015 N Royal Dr
Traverse City, MI 49684-9292
Phone (231) 935-0850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jill.vollbrecht@gti.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IA, GA, KS4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071031000042 MI Practitioner - Endocrinology 2062509540 Reassigns benefits to 2 organizations
I20260506002802 IA Practitioner - Endocrinology 2062509540 Reassigns benefits to 2 organizations
I20260522000914 GA Practitioner - Endocrinology 2062509540 Reassigns benefits to 1 organization
I20260527001479 KS Practitioner - Endocrinology 2062509540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Traverse Internists PCGroup PAC ID 0042374977, 8 clinicians

Practice addresses (Care Compare)

5015 N Royal Dr
Traverse City, MI 49684-9292
Phone (231) 935-0850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Traverse Internists, PC Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2022 Accepting new patients
Ann Arbor Endocrinology and Diabetes Associates, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Dec 1, 2021 Accepting new patients
Allara Medical Group PA Past Accepting new patients
Marjorie Nolan Cohn LLC Past Accepting new patients

Locations

5015 N Royal Dr
Traverse City, MI 49684
Phone (231) 935-0850

5333 McAuley Dr
Rm 5115
Ypsilanti, MI 48197
Phone (734) 434-4430

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIAHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GAFIBA
  • Direct secure messaging: jill.vollbrecht@gti.eclinicaldirectplus.com
  • Direct secure messaging: jvollbrecht1579816@direct.trinity-health.org

Organizations & group practices 8

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

Hospital & facility affiliations 8

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1013130525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849292",
            "telephone_number": "231-935-0850",
            "fax_number": "231-935-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849292",
            "telephone_number": "231-935-0850",
            "fax_number": "231-935-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLBRECHT",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301083009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.vollbrecht@gti.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5015 N Royal Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496849292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.