Michele Lee Premeau, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704189447 Issued in MI

Practice address

712 Chippewa SQ
Marquette, MI 49855-4827

Phone

(906) 205-4425

NPI assigned

Jul 23, 2011

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• JJDM Management of Marquette

  dba Primo Health & Wellness

  • Family Nurse Practitioner
  • Marquette, MI
  • NPI 1225743909
  Authorized official Same address or phone

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1760760839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 BLEMHUBER AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554828",
            "telephone_number": "906-250-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CHIPPEWA SQ",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554827",
            "telephone_number": "906-205-4425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 Blemhuber Ave",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554828",
            "country_code": "US",
            "telephone_number": "906-205-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREMEAU",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-23",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704189447",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704189447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premier Psychological Services, PLLC
• Abigail O Prentice, MD
• Colton John Prete, DO
• Wendy Prevost, LMSW
• Karley Jo Price

• Primary Care Nurse Practitioner in Marquette, MI
• Providers in Marquette, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.