Individual provider Active NPI

Jacqueline Hourtienne, FNP-BC

  • Family Nurse Practitioner
  • Lapeer, MI
National Provider Identifier
1699437566
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704330502 Issued in MI
Practice address
944 Baldwin Rd Ste a
Lapeer, MI 48446-3089
Phone
(810) 245-5562
NPI assigned
Oct 8, 2021
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 4704330502 MI Primary

Addresses

Primary practice location

944 Baldwin Rd Ste a
Lapeer, MI 48446-3089

Mailing address

944 Baldwin Rd Ste a
Lapeer, MI 48446-3089
Phone (810) 245-5562

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
I20211102001256 MI Practitioner - Nurse Practitioner 2567850084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lapeer Medical Associates PCGroup PAC ID 1951357128, 8 clinicians

Practice addresses (Care Compare)

944 Baldwin Rd
A
Lapeer, MI 48446-3089
Phone (810) 245-5562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704330502MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lapeer Medical Associates PC CurrentSince Aug 11, 2025 Accepting new patients
Health Park Medical Practice PC CurrentSince Nov 1, 2021 Accepting new patients
Lapeer Medical Associates PC CurrentSince Aug 11, 2025 Accepting new patients

Locations

600 Health Park Blvd
Ste H
Grand Blanc, MI 48439
Phone (810) 424-2259

944 Baldwin Rd
Ste A
Lapeer, MI 48446
Phone (810) 245-5562

Interoperability endpoints

  • Direct secure messaging: jacquelinehourtienne@pmi.allscriptsdirect.net
  • Direct secure messaging: jhourtienne1132540@direct.hfhs.org

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 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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1699437566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-245-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-245-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOURTIENNE",
        "first_name": "JACQUELINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704330502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.