Individual provider Active NPI

Tammy Marie Milbocker, NP-C

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1790209161
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704201808 Issued in MI
Practice address
4760 Fashion Square Blvd Ste L-1
Saginaw, MI 48604-2620
Phone
(989) 282-4003
Fax
(888) 491-7220
NPI assigned
Jul 27, 2017
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704201808 MI
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 4704201808 MI Primary

Addresses

Primary practice location

4760 Fashion Square Blvd Ste L-1
Saginaw, MI 48604-2620

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

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
I20171019001034 MI Practitioner - Nurse Practitioner 0244506285 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Street Family PracticeGroup PAC ID 2961471594, 4 clinicians
Northview Medical House Calls PLCGroup PAC ID 9537345400, 36 clinicians

Practice addresses (Care Compare)

1207 N Spring St
Gladwin, MI 48624-1040
Phone (989) 426-5590

4760 Fashion Square Blvd
Suite L 1
Saginaw, MI 48604-2620
Phone (989) 282-4003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704201808MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Street Family Practice Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Munson Healthcare Grayling CurrentSince Nov 27, 2017 Accepting new patients
Munson Healthcare Grayling Single Specialty CurrentSince Nov 27, 2017 Accepting new patients
Northview Medical House Calls PLC Single Specialty CurrentSince Feb 23, 2024 Accepting new patients
Old Mission Wound Care Michigan PLLC Single Specialty CurrentSince Sep 12, 2025 Accepting new patients
Careconnectmd Michigan PC Single Specialty CurrentSince May 9, 2024 Accepting new patients
Northview Health Specialists, PLLC Single Specialty CurrentSince Feb 23, 2024 Accepting new patients
Munson Healthcare Grayling Single Specialty Current Accepting new patients
Careline Hmi300 LLC CurrentSince Feb 23, 2024 Accepting new patients
Careline Palliative Care LLC Single Specialty CurrentSince Feb 23, 2024 Accepting new patients
Center for Pulmonary and Sleep Medicine PC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Elite Allergy PLLC Single Specialty PastSince Jan 21, 2024 Accepting new patients
Premier Heart Associates, Inc PastSince Feb 23, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3778 Momentum Pl
Chicago, IL 60689

3781 Momentum Pl
Chicago, IL 60689

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

1207 N Spring St
Gladwin, MI 48624
Phone (989) 426-5553

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

560 W Mitchell St
Ste 505
Petoskey, MI 49770
Phone (231) 487-2100

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1790209161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 FASHION SQUARE BLVD STE L-1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042620",
            "telephone_number": "989-282-4003",
            "fax_number": "888-491-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBOCKER",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704201808",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704201808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.