NPIMap

Individual provider Active NPI

Anthony Joseph Jurecic, NP-C

  • Acute Care Nurse Practitioner
  • Marquette, MI
National Provider Identifier
1730712969
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704327594 Issued in 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
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704327594 MI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200312000397 MI Practitioner - Nurse Practitioner 4587092226 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1414 W Fair Ave
Marquette, MI 49855-5407
Phone (906) 225-3910

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Ear, Nose & Throat Specialists. P.C. CurrentSince Jan 20, 2022 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jan 1, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jan 1, 2024 Accepting new patients
Superior Walk-in Center, PC Current Accepting new patients
Superior Walk-in Center, PC CurrentSince Feb 14, 2020 Accepting new patients
DLP Marquette Physician Practices Inc Past Accepting new patients

Locations

1414 W Fair Ave
Ste 130
Marquette, MI 49855
Phone (906) 225-3920

1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

2382 US Highway 41 W
Marquette, MI 49855
Phone (906) 226-2233

712 Chippewa Sq
Ste 100
Marquette, MI 49855
Phone (906) 205-4425

1504 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4220

Interoperability endpoints

  • Direct secure messaging: anthony.jurecic.1@8233.direct.athenahealth.com

Organizations & group practices 6

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 7

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1730712969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555408",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555408",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURECIC",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704327594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.