Individual provider Active NPI

Jean M. McDonough, F.N.P.

  • Family Nurse Practitioner
  • Harbor Springs, MI
National Provider Identifier
1295035244
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704173385 Issued in MI
Practice address
3434 M 119
Suite C
Harbor Springs, MI 49740-9373
Phone
(231) 348-9900
Fax
(989) 358-3780
NPI assigned
Oct 25, 2010
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 4704173385 MI Primary

Addresses

Primary practice location

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

Mailing address

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-8516

Other practice location 1

14719 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-3840

Other practice location 2

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JEANMCDONOUGH@cah.cernerdirect.com

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
I20101217000629 MI Practitioner - Nurse Practitioner 1052509015 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Healthcare Charlevoix HospitalGroup PAC ID 4284528035, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

14709 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-6519

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704173385MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Oct 13, 2015 Accepting new patients
Munson Healthcare Charlevoix Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Family CurrentSince Sep 1, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Munson Medical Center CurrentSince Jul 8, 2013 Accepting new patients
Munson Medical Center CurrentSince Jul 8, 2013 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Oct 13, 2015 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Oct 13, 2015 Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

4880 Momentum Pl
Chicago, IL 60689

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

14705 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519

14709 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519

14719 W Upright St
Charlevoix, MI 49720
Phone (231) 547-3840

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

Interoperability endpoints

  • Direct secure messaging: jeanmcdonough@cah.cernerdirect.com

Organizations & group practices 14

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.

View all 14

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1295035244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 LAKE SHORE DR",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201931",
            "telephone_number": "231-547-8516",
            "fax_number": "231-547-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 M 119",
            "address_2": "SUITE C",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409373",
            "telephone_number": "231-348-9900",
            "fax_number": "989-358-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14719 W Upright St",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201949",
            "country_code": "US",
            "telephone_number": "231-547-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709256",
            "country_code": "US",
            "telephone_number": "231-417-6050",
            "fax_number": "231-213-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "JEAN",
        "middle_name": "M.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704173385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JEANMCDONOUGH@cah.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3434 M 119",
            "address_2": "Suite C",
            "city": "Harbor Springs",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497409373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harbor Springs, MI

Sources for this page

Verify at the official NPI Registry.