Individual provider Active NPI

Janet L Sprague, DO

  • Family Medicine Physician
  • Sunfield, MI
National Provider Identifier
1962516047
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012810 Issued in MI
Practice address
7686 Tupper Lake Rd
Sunfield, MI 48890-9740
Phone
(517) 449-8705
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X JS012810 MI
Family Medicine Physician 207Q00000X 5101012810 MI Primary

Addresses

Primary practice location

7686 Tupper Lake Rd
Sunfield, MI 48890-9740

Mailing address

PO Box 68
Mulliken, MI 48861-0068
Phone (517) 449-8705

Other identifiers 3

IdentifierTypeStateIssuer
383639554OtherMITAX ID
JS012810OtherMILICENSE NUMBER
4427238MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000026 MI Practitioner - Family Practice 9234165960 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012810MIMDFamily Medicine Physician
JS012810MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Ingham, Eaton and Clinton Counties CurrentSince Jul 1, 2019 Accepting new patients
Sparrow Ionia Hospital Past Accepting new patients
Medical Ambulatory Services for Health PC Past Accepting new patients
Cristo Rey Community Center Past Accepting new patients
Sparrow Ionia Hospital Family Medicine Past Accepting new patients

Locations

1717 N High St
Lansing, MI 48906
Phone (517) 371-1700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1962516047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "MULLIKEN",
            "state": "MI",
            "postal_code": "488610068",
            "telephone_number": "517-449-8705",
            "fax_number": "517-878-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7686 TUPPER LAKE RD",
            "city": "SUNFIELD",
            "state": "MI",
            "postal_code": "488909740",
            "telephone_number": "517-449-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "JANET",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JS012810",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "383639554",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "JS012810",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4427238",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunfield, MI

Sources for this page

Verify at the official NPI Registry.