Individual provider Active NPI

Jessica Maria Zionskowski

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1841835196
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704224003 Issued in MI
Practice address
815 Business Park Dr Ste a
Traverse City, MI 49686-8683
Phone
(231) 421-6921
NPI assigned
Nov 11, 2019
Last updated
Nov 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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 4704224003 MI Primary

Addresses

Primary practice location

815 Business Park Dr Ste a
Traverse City, MI 49686-8683

Mailing address

895 Hammond PL S
Traverse City, MI 49686-8009
Phone (231) 620-0140

Other practice location 1

3537 W Front St Ste A
Traverse City, MI 49684-7942
Phone (231) 935-2525

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
I20210430001605 MI Practitioner - Nurse Practitioner 5395154496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704224003MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Chronic Care Management LLC Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients
Munson Medical Center CurrentSince Jun 27, 2022 Accepting new patients
Munson Medical Center CurrentSince Jun 27, 2022 Accepting new patients
Grand Traverse Band of Ottawa and Chippewa Indians PastSince Nov 1, 2019 Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

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

204 W Buttles St
Midland, MI 48640

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

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

3537 W Front St
Ste A
Traverse City, MI 49684
Phone (231) 935-2525

4020 Copper Vw
Ste 104
Traverse City, MI 49684
Phone (231) 421-6921

5085 Anna Dr
Ste A
Traverse City, MI 49684
Phone (231) 935-0180

815 Business Park Dr
#A
Traverse City, MI 49686
Phone (231) 421-6921

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1841835196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 HAMMOND PL S",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868009",
            "telephone_number": "231-620-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BUSINESS PARK DR STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868683",
            "telephone_number": "231-421-6921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 W Front St Ste A",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847942",
            "country_code": "US",
            "telephone_number": "231-935-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIONSKOWSKI",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-11-24",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704224003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.