Individual provider Active NPI

Jennifer Lynn Macmaster, FNP-BC

  • Family Nurse Practitioner
  • Sault Sainte Marie, MI
National Provider Identifier
1750928792
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704319292 Issued in MI
Practice address
509 Osborn Blvd Ste 320
Sault Sainte Marie, MI 49783-2071
Phone
(906) 322-2210
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 4704319292 MI Primary

Addresses

Primary practice location

509 Osborn Blvd Ste 320
Sault Sainte Marie, MI 49783-2071

Mailing address

1705 W 6TH Ave
Sault Sainte Marie, MI 49783-1446
Phone (906) 322-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Sault Past Accepting new patients
Mymichigan Medical Center Sault Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmacmaster142389@mymichiganhealth.midirect.net

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1750928792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 W 6TH AVE",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831446",
            "telephone_number": "906-322-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OSBORN BLVD STE 320",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832071",
            "telephone_number": "906-322-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMASTER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704319292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.