KASSIDY JO TREACEY
NPI 1003603481
Nurse Practitioner - Family in Jackson, MI

Active since April 21, 2025PECOS Enrolled
505 N JACKSON ST, JACKSON, MI 49201(517) 748-5500 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kassidy Jo Treacey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSIDY JO TREACEY (NPI 1003603481) is an individual family provider in Jackson, Michigan, licensed in Michigan (4704352886) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003603481
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKASSIDY JO TREACEY
Location Address505 N JACKSON STJackson, MI 49201-1266
Mailing Address505 N Jackson StJackson, MI 49201-1266 · (517) 748-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1003603481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704352886
505 N JACKSON ST, Jackson, MI 49201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kassidy Jo Treacey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618482811
PECOS Enrollment IDI20250716001964
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
505 N JACKSON ST
JACKSON, MI 49201
Obstetrics & Gynecology
505 N JACKSON ST
JACKSON, MI 49201
Family Medicine
505 N JACKSON ST
JACKSON, MI 49201
Internal Medicine
505 N JACKSON ST
JACKSON, MI 49201
Community Health Worker
505 N JACKSON ST
JACKSON, MI 49201
Dentist
505 N JACKSON ST
JACKSON, MI 49201
Social Worker (Clinical)
505 N JACKSON ST
JACKSON, MI 49201
Family Medicine
505 N JACKSON ST
JACKSON, MI 49201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassidy Treacey's NPI number?

The NPI number for Kassidy Treacey is 1003603481. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Kassidy Treacey located?

Kassidy Treacey practices at 505 N Jackson St, Jackson, MI 49201. The listed phone number is (517) 748-5500.

What is Kassidy Treacey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kassidy Treacey enrolled in Medicare?

Yes. Kassidy Treacey is registered in the Medicare PECOS enrollment system.

What insurance does Kassidy Treacey accept?

Health plans from Blue Care Network of Michigan list Kassidy Treacey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kassidy Treacey affiliated with any hospitals?

According to CMS data, Kassidy Treacey is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Kassidy Treacey was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.