Individual provider Active NPI

Jenny E Reid

  • Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1447555073
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704223654 Issued in MI
Practice address
2325 Garfield Rd N
Traverse City, MI 49686-5178
Phone
(231) 922-4630
Fax
(231) 922-2719
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 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 4704223654 MI Primary

Addresses

Primary practice location

2325 Garfield Rd N
Traverse City, MI 49686-5178

Mailing address

2325 Garfield Rd N
Traverse City, MI 49686-5178
Phone (231) 922-4630

Other practice location 1

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhc.sleep.disorders.center@mhc.midirect.net

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
I20120605000080 MI Practitioner - Nurse Practitioner 2264696236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-9307

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Nov 28, 2016 Accepting new patients
Munson Medical Center Past Accepting new patients
Traverse Observation Physician Services PC Past Accepting new patients

Locations

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

550 Munson Ave
Ste 201
Traverse City, MI 49686
Phone (231) 935-9307

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

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

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1447555073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 GARFIELD RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865178",
            "telephone_number": "231-922-4630",
            "fax_number": "231-922-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 GARFIELD RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865178",
            "telephone_number": "231-922-4630",
            "fax_number": "231-922-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863580",
            "country_code": "US",
            "telephone_number": "231-935-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "JENNY",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704223654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhc.sleep.disorders.center@mhc.midirect.net",
            "affiliation": "N",
            "address_1": "550 Munson Ave Ste 201",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496863580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.