Individual provider Active NPI

Jami Lee Grosberg, FNP-C

  • Nurse Practitioner
  • Rogers City, MI
National Provider Identifier
1407474364
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704307079 Issued in MI
Practice address
573 N Bradley Hwy
Rogers City, MI 49779-1508
Phone
(989) 734-2171
Fax
(989) 734-2312
NPI assigned
Jul 8, 2020
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704307079 MI Primary

Addresses

Primary practice location

573 N Bradley Hwy
Rogers City, MI 49779-1508

Mailing address

573 N Bradley Hwy
Rogers City, MI 49779-1508
Phone (989) 734-2171

Other practice location 1

829 N Center Ave Ste 210
Gaylord, MI 49735-1599
Phone (989) 731-7833

Other practice location 2

1996 Walden Dr
Gaylord, MI 49735-8241
Phone (989) 731-4111

Other practice location 3

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Other practice location 4

1250 E Michigan Ave
Grayling, MI 49738-7074
Phone (989) 348-0550

Other practice location 5

829 N Center Ave Ste 140
Gaylord, MI 49735-1598
Phone (989) 731-7860

Other practice location 6

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900

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
I20201211000355 MI Practitioner - Nurse Practitioner 5890107064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Practice addresses (Care Compare)

1250 E Michigan Ave
Grayling Community Health Center
Grayling, MI 49738-7074
Phone (989) 348-0550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Grayling CurrentSince May 5, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Medical Center Nurse Practitioner CurrentSince Jul 25, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jul 25, 2023 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jul 25, 2023 Accepting new patients
Munson Healthcare Grayling CurrentSince May 5, 2025 Accepting new patients
Munson Medical Center CurrentSince Jul 25, 2023 Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

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

3781 Momentum Pl
Chicago, IL 60689

1996 Walden Dr
Gaylord, MI 49735
Phone (517) 731-4111

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

829 N Center Ave
Ste 140
Gaylord, MI 49735
Phone (989) 731-7860

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171

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

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

Organizations & group practices 12

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 3

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1407474364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 N BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791508",
            "telephone_number": "989-734-2171",
            "fax_number": "989-734-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 N BRADLEY HWY",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791508",
            "telephone_number": "989-734-2171",
            "fax_number": "989-734-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 N Center Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351599",
            "country_code": "US",
            "telephone_number": "989-731-7833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1996 Walden Dr",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497358241",
            "country_code": "US",
            "telephone_number": "989-731-4111",
            "fax_number": "989-705-8511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "fax_number": "231-392-7356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "fax_number": "989-348-0473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 W Houghton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prudenville",
            "state": "MI",
            "postal_code": "486519624",
            "country_code": "US",
            "telephone_number": "989-366-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSBERG",
        "first_name": "JAMI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704307079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers City, MI

Sources for this page

Verify at the official NPI Registry.