Individual provider Active NPI

Jill Irene Sayer, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kincheloe, MI
National Provider Identifier
1861500142
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704315354 Issued in MI
Practice address
16523 S Water Tower Dr
Kincheloe, MI 49788-1592
Phone
(906) 632-5900
NPI assigned
Aug 28, 2006
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28166450A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704315354 MI Primary

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

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
I20230209001899 MI Practitioner - Nurse Practitioner 2567834062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 CommunityGroup PAC ID 8729079918, 13 clinicians
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians
Sault Tribe of Chippewa IndiansGroup PAC ID 7012982937, shared by 6 NPIs, 29 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28166450AINMDRegistered Nurse
4704315354MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Mills Indian Community Current Accepting new patients
Bay Mills Indian Community CurrentSince Mar 1, 2023 Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jan 31, 2023 Accepting new patients
Bay Mills Indian Community CurrentSince Mar 1, 2023 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jan 31, 2023 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

  • Direct secure messaging: jsayer142394@mymichiganhealth.midirect.net

Organizations & group practices 7

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 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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1861500142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831884",
            "telephone_number": "906-635-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16523 S WATER TOWER DR",
            "city": "KINCHELOE",
            "state": "MI",
            "postal_code": "497881592",
            "telephone_number": "906-632-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYER",
        "first_name": "JILL",
        "middle_name": "IRENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28166450A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704315354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kincheloe, MI

Sources for this page

Verify at the official NPI Registry.