Individual provider Active NPI

Jennifer Ann Marsh, FNP-BC

  • Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1780026849
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704251596 Issued in MI
Practice address
1221 Sixth St. Suite 300
Traverse City, MI 49684-2287
Phone
(231) 935-2400
Fax
(231) 392-2424
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704251596 MI Primary

Addresses

Primary practice location

1221 Sixth St. Suite 300
Traverse City, MI 49684-2287

Mailing address

701 W Front St
Suite 200
Traverse City, MI 49684-2287
Phone (231) 346-4023

Other practice location 1

4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900

Other practice location 2

1221 Sixth St Ste 100
Traverse City, MI 49684-2359
Phone (231) 935-0322

Other practice location 3

3537 W Front St Ste E
Traverse City, MI 49684-7943
Phone (231) 935-5880

Other practice location 4

217 S Madison St
Traverse City, MI 49684-2321
Phone (231) 392-8400

Other practice location 5

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jennifer.marsh@gts.eclinicaldirectplus.com

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
I20170413000831 MI Practitioner - Nurse Practitioner 8628203890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Suite 211
Traverse City, MI 49684-2345
Phone (231) 935-7227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1221 Sixth St
Ste 306
Traverse City, MI 49684
Phone (231) 935-2400

1221 Sixth St
Ste 100
Traverse City, MI 49684
Phone (231) 392-8400

1105 Sixth St
Ste 211
Traverse City, MI 49684
Phone (231) 392-8400

4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900

3537 W Front St
Ste E
Traverse City, MI 49684
Phone (231) 935-5880

1221 Sixth St
Ste 212
Traverse City, MI 49684
Phone (231) 392-0210

1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640

Interoperability endpoints

  • Direct secure messaging: jennifer.marsh@gts.eclinicaldirectplus.com

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 and National Provider Directory roles.

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1780026849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842287",
            "telephone_number": "231-346-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST. SUITE 300",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842287",
            "telephone_number": "231-935-2400",
            "fax_number": "231-392-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Park Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847331",
            "country_code": "US",
            "telephone_number": "231-392-8900",
            "fax_number": "231-398-8973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Sixth St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842359",
            "country_code": "US",
            "telephone_number": "231-935-0322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 W Front St Ste E",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847943",
            "country_code": "US",
            "telephone_number": "231-935-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842321",
            "country_code": "US",
            "telephone_number": "231-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704251596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.marsh@gts.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1221 Sixth St. Suite 300",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.