Jacob Joseph Wardach, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704307615 Issued in MI

Practice address

3434 M 119 Ste C
Harbor Springs, MI 49740-9373

Phone

(231) 348-9900

NPI assigned

Sep 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in HI, MA, MI3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Home Health Home health agency, Cheboygan, MI, CCN 237160
• McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
• McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCBAAA
• Direct secure messaging: jacob.wardach.1@28492.direct.athenahealth.com
• Direct secure messaging: jacob.wardach.p1@direct.alcona.nextgenshare.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.

• Alcona Citizens for Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Harrisville, MI
  • NPI 1326055450

  MI

  Medicare reassignment Care Compare group NPD
• Family Eye Care Center & Optical Gallery Inc.

  • Ophthalmology Physician
  • Westford, MA
  • NPI 1003900382

  MA

  Medicare reassignment NPD
• Alcona Citizens for Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alpena, MI
  • NPI 1750159158
  NPD
• Pukalani Family Practice, LLC

  • Primary Care Clinic/Center
  • Makawao, HI
  • NPI 1063009207

  Gerontology

  NPD
• Alcona Citizens for Health Inc

  • Community/Retail Pharmacy
  • Alpena, MI
  • NPI 1407949845
  NPD (past)
• Alcona Citizens for Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Harbor Springs, MI
  • NPI 1891926739
  NPD (past)
• Feccog Lowell LLC

  • Ophthalmology Physician
  • Westford, MA
  • NPI 1376942094
  NPD (past)

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

• McLaren Central Michigan

  • Rural Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1619941317

  Hospital

  Care Compare affiliation
• McLaren Health Management Group

  • Home Health Agency
  • Cheboygan, MI
  • NPI 1538270855
  Care Compare affiliation
• McLaren Northern Michigan

  • Psychiatric Hospital Unit
  • Cheboygan, MI
  • NPI 1336897735

  Hospital

  Care Compare affiliation
• McLaren Northern Michigan

  • General Acute Care Hospital
  • Petoskey, MI
  • NPI 1992812580

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1265083018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "231-348-9900",
            "fax_number": "989-358-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 M 119 STE C",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409373",
            "telephone_number": "231-348-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6135 Cressy St",
            "address_purpose": "LOCATION",
            "city": "Indian River",
            "state": "MI",
            "postal_code": "497495151",
            "country_code": "US",
            "telephone_number": "231-328-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDACH",
        "first_name": "JACOB",
        "middle_name": "JOSEPH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704307615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.wardach.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3434 M 119 Ste C",
            "city": "Harbor Springs",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497409373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.wardach.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "6135 Cressy St",
            "city": "Indian River",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497495151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Tunison
• Keri Jean Vigneau
• Kimberly L Voelker-Samyn, PT
• Diana F Volant, MA, TLLP
• Wendy H. Walker, M.D.
• Eric Zachary Wehner, MED, ATC
• Damon Craig Whitfield, PT, ATC
• Sarah J Willey, ANP
• William N Zoerhof DDS, PC
• Sara A Wilson

• Nurse Practitioner in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.