Individual provider Active NPI

Jennifer Marie Perkins, D.O.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1528283199
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016018 Issued in MI
Practice address
647 E Eighth St
Traverse City, MI 49686-2630
Phone
(231) 900-0400
Fax
(855) 586-8399
NPI assigned
Apr 17, 2007
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101016018 MI Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 5101016018 MI

Addresses

Primary practice location

647 E Eighth St
Traverse City, MI 49686-2630

Mailing address

647 E Eighth St
Traverse City, MI 49686-2630
Phone (231) 922-0400

Other practice location 1

818 Red Dr Ste 100
Traverse City, MI 49684-4729
Phone (231) 333-1331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.lyon@brook.eclinicaldirectplus.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000349 MI Practitioner - Family PracticePractitioner - Sports Medicine 9234213653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Michigan State University College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

647 E 8TH St
Traverse City, MI 49686-2630
Phone (231) 922-0400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101016018MIMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Graetz MD PLC Family Medicine CurrentSince Jun 15, 2015 Accepting new patients
Brookside Family Medicine a Center for Health and Well-Being PLC Family Medicine CurrentSince Jun 15, 2015 Accepting new patients
Urgent Care of Traverse City PLLC Family Medicine Past Accepting new patients

Locations

647 E Eighth St
Traverse City, MI 49686
Phone (231) 922-0400

872 Munson Ave
Ste D
Traverse City, MI 49686
Phone (231) 922-0400

Interoperability endpoints

  • Direct secure messaging: jennifer.lyon@brook.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1528283199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862630",
            "telephone_number": "231-922-0400",
            "fax_number": "231-922-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862630",
            "telephone_number": "231-900-0400",
            "fax_number": "855-586-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 Red Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844729",
            "country_code": "US",
            "telephone_number": "231-333-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016018",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "5101016018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.lyon@brook.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "647 E Eighth St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496862630",
            "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.