Jill Irene Sayer, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kincheloe, MI
NPI 1861500142 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1861500142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 4704315354 (MI)
- Practice address
- 16523 S Water Tower Dr
Kincheloe, MI 49788-1592 - Phone
- (906) 632-5900
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bay Mills Indian Community
Mymichigan Medical Center Sault
Sault Tribe of Chippewa Indians
Practice addresses (Care Compare)
12455 W Lakeshore Dr
Brimley, MI 49715-9327
Phone (906) 248-5527
16523 S Water Tower Dr
Mymichigan Psychiatry
Kincheloe, MI 49788-1592
Phone (906) 632-5849
2864 Ashmun St
Sault S Marie, MI 49783-3740
Phone (906) 632-5200
Hospital & facility affiliations
- Chippewa County War Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230209001899 | MI | Practitioner - Nurse Practitioner | 2567834062 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28166450A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Mills Indian Community | Current |
Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Bay Mills Indian Community | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current |
Accepting new patients | |
| Bay Mills Indian Community | Current |
Accepting new patients | |
| Mymichigan Medical Center Sault | Current |
Accepting new patients |
Locations
12455 W Lakeshore Dr
Brimley, MI 49715
Phone (906) 248-5527
16523 S Water Tower Dr
Kincheloe, MI 49788
Phone (906) 495-1344
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
Interoperability endpoints
- jsayer142394@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28166450A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704315354 | MI | Yes |
Addresses
Primary practice location
16523 S Water Tower Dr
Kincheloe, MI 49788-1592
Mailing address
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1884
Phone (906) 635-4460
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28166450A | Other | IN | RN LICENSE |
Other providers in Kincheloe, MI
- R. Kent Owen
- Katie Peabody
- Maddison Picotte
- Penny Lou Rogers
- Sault Tribe of Chippewa Indians
- Laindra Schuler
- Jonathan Sommers
- Timothy J Stallman
- Lorenell Tomkinson
- Susan Wilson
All providers in Kincheloe, MI · Psychiatric/Mental Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.