Jessica Mastbergen, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704301869 Issued in MI

Practice address

10850 E Traverse Hwy Ste 1155
Traverse City, MI 49684-1363

Phone

(231) 268-0013

Fax

(469) 319-9379

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Celly Health Medical Group of Northern Michigan PC 4 clinicians

Grand Traverse Internists PC 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIAHAA
• Direct secure messaging: jessica.mastbergen@gti.eclinicaldirectplus.com

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.

• Celly Health Medical Group of Northern Michigan PC

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1194501130

  MI

  Medicare reassignment Care Compare group NPD
• Grand Traverse Internists, PC

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1578559365

  MI

  Medicare reassignment Care Compare group NPD
• Hospice of Michigan, Inc.

  • Community Based Hospice Care Agency
  • Big Rapids, MI
  • NPI 1497790323
  NPD (past)

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

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1023501699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY STE 1155",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841363",
            "telephone_number": "231-268-0013",
            "fax_number": "469-319-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 E TRAVERSE HWY STE 1155",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496841363",
            "telephone_number": "231-268-0013",
            "fax_number": "469-319-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTBERGEN",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704301869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Free Bed Orthotics and Prosthetics
• Mary Klemens MD PLLC
• Alicia Danyce Mason, FNP-C
• Cari J Mason, LLMSW
• Steven T Mast, MD
• Ashley Master, TLLP
• Leah Christine Masters, LMSW
• Nina L Mastick, MSW
• Kyle Mathews, B.S
• Krystal Venise Matos

• All providers in Traverse City, MI
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.