Anthony Joseph Jurecic, NP-C
Individual provider Active NPI Acute Care Nurse Practitioner · Marquette, MI
NPI 1730712969 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1730712969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 4704327594 (MI)
- Practice address
- 1414 W Fair Ave Ste 130
Marquette, MI 49855-5408 - Phone
- (906) 225-7660
- Fax
- (906) 225-7665
- NPI assigned
- Feb 17, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- DLP Marquette Physician Practices Inc
Practice addresses (Care Compare)
1414 W Fair Ave
Marquette, MI 49855-5407
Phone (906) 225-3910
Hospital & facility affiliations
- Uphs Marquette DLP Hospital
- Bell Hospital
- Up Health System Portage
- Baraga County Memorial Hospital
- Aspirus Keweenaw Hospital and Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200312000397 | MI | Practitioner - Nurse Practitioner | 4587092226 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current |
Accepting new patients | |
| Superior Walk-in Center, PC | Current |
Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current |
Accepting new patients | |
| Superior Ear, Nose & Throat Specialists. P.C. | Current |
Accepting new patients | |
| Superior Walk-in Center, PC | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients |
Locations
2382 US Highway 41 W
Marquette, MI 49855
Phone (906) 226-2233
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910
1414 W Fair Ave
Ste 130
Marquette, MI 49855
Phone (906) 225-3920
712 Chippewa Sq
Ste 100
Marquette, MI 49855
Phone (906) 205-4425
1504 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4220
Interoperability endpoints
- anthony.jurecic.1@8233.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704327594 | MI | Yes |
Addresses
Primary practice location
1414 W Fair Ave Ste 130
Marquette, MI 49855-5408
Mailing address
1414 W Fair Ave Ste 130
Marquette, MI 49855-5408
Phone (906) 225-7660
Other providers in Marquette, MI
- Bobby Z Joseph
- Jasmine Joseph
- Kaitlyn Marie Joyce
- Joyful Raine Therapy and Holistic Care LLC
- Gabrielle Juidici
- Jerry Robert Jurecic
- K.T. P.T., LLC
- Laura Kagy
- Dorothy S Kahler
- Kyle Kakuk
All providers in Marquette, MI · Acute Care 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 20, 2022. 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.