Jessica Jo Dawson
Individual provider Active NPI Nurse Practitioner · Manistee, MI
NPI 1417814229 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1417814229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704256148 (MI)
- Practice address
- 2967 Page Rd
Manistee, MI 49660-9402 - Phone
- (517) 281-7191
- NPI assigned
- Jan 6, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Complexcare Medical Group Midwest M PLLC
Practice addresses (Care Compare)
220 S Hughston St
MC Bain, MI 49657-9622
Phone (231) 825-2990
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704256148 | MI | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704256148 | MI | Yes |
Addresses
Primary practice location
2967 Page Rd
Manistee, MI 49660-9402
Mailing address
2967 Page Rd
Manistee, MI 49660-9402
Phone (517) 281-7191
Other providers in Manistee, MI
- Caiden Cudney
- Mark Salvatore Dangelo
- Daniel & Max, LLC
- Michael Dark
- Hillary J Davis
- Jacob R Deboni
- Christina Delacruz
- Jessica Derosia
- Michael Donald Dincau
- Cheryl Dionne
All providers in Manistee, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.