Organization Active NPI

Medplus P C

  • Urgent Care Clinic/Center
  • Jackson, MI
National Provider Identifier
1891817136
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDPLUS P C
Practice address
875 Laurence Ave
Jackson, MI 49202-2966
Phone
(517) 787-0544
Fax
(517) 787-0730
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Kristen Kremer
Title
Manager
Phone
(248) 496-8574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

875 Laurence Ave
Jackson, MI 49202-2966

Mailing address

875 Laurence Ave
Jackson, MI 49202-2966
Phone (517) 787-0544

Other identifiers 1

IdentifierTypeStateIssuer
700C86065OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000755 MI Part B Supplier - Clinic/Group Practice 2264511476 Receives reassigned benefits from 2 practitioners
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1891817136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 LAURENCE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022966",
            "telephone_number": "517-787-0544",
            "fax_number": "517-787-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 LAURENCE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022966",
            "telephone_number": "517-787-0544",
            "fax_number": "517-787-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "KREMER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-496-8574"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "700C86065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.