NPIMap

Individual provider Active NPI

Jennifer Michelle Piwowarski, M.D.

  • Family Medicine Physician
  • Cadillac, MI
National Provider Identifier
1811149115
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301090555 Issued in MI
Practice address
7985 Mackinaw TRL
Cadillac, MI 49601-8111
Phone
(231) 876-6200
Fax
(231) 876-6299
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301090555 MI Primary

Addresses

Primary practice location

7985 Mackinaw TRL
Cadillac, MI 49601-8111

Mailing address

3782 Momentum PL
Chicago, IL 60689-5337
Phone (231) 935-6080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpiwowarski@direct.mhc.net

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
I20101109001173 MI Practitioner - Family Practice 0648465286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

7985 S Mackinaw TRL
MHC OBGYN
Cadillac, MI 49601-8111
Phone (231) 876-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac CurrentSince Feb 1, 2015 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 1, 2015 Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Cadillac Family Medicine Past Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

Interoperability endpoints

  • Direct secure messaging: jpiwowarski@direct.mhc.net

Organizations & group practices 4

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 5

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": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1811149115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895337",
            "telephone_number": "231-935-6080",
            "fax_number": "231-935-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 MACKINAW TRL",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018111",
            "telephone_number": "231-876-6200",
            "fax_number": "231-876-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIWOWARSKI",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpiwowarski@direct.mhc.net",
            "affiliation": "N",
            "address_1": "7985 Mackinaw Trl",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496018111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.