Jacqueline Beatrice Plamondon, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704246735 Issued in MI

Practice address

1135 E 8TH St
Traverse City, MI 49686-2936

Phone

(231) 929-1844

Fax

(231) 929-2084

NPI assigned

Oct 31, 2011

Last updated

Jul 17, 2014By the provider in NPPES

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Munson Medical Center

  dba Endocrinology and Metabolism

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1083761860
  Medicare reassignment NPD
• Munson Medical Center

  dba Munson Spine and Nerve Pain Treatment Center

  • Pain Medicine (Anesthesiology) Physician
  • Traverse City, MI
  • NPI 1306277553
  NPD
• Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
  • NPI 1891586103
  NPD
• Planned Parenthood of West & Northern Michigan, Inc

  • Non-Surgical Family Planning Clinic/Center
  • Traverse City, MI
  • NPI 1831200450
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1255617619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034601",
            "telephone_number": "616-774-7705",
            "fax_number": "616-774-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862936",
            "telephone_number": "231-929-1844",
            "fax_number": "231-929-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAMONDON",
        "first_name": "JACQUELINE",
        "middle_name": "BEATRICE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704246735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144293465",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pintar Psychological Services, PC
• Jamie Pintar, PH.D.
• Ashley Piper
• Madison Elizabeth Piper
• Christina Ann Plamondon, CNM
• Mark A Plamp, RPH
• Planned Parenthood of West & Northern Michigan, Inc
• Plant Centered Healing LLC (Healing with Kasey)
• Platinum Home Health Care (Atticus Black)
• Jill L Platte, MS, LLP

• Family Nurse Practitioner in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.