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JACOB FITZPATRICK
NPI 1114505807
Nurse Practitioner - Family in North Branch, MI

Active since April 01, 2021PECOS Enrolled
5830 N LAPEER RD STE B&C, NORTH BRANCH, MI 48461(810) 545-0235 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Fitzpatrick NPPES

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

JACOB FITZPATRICK (NPI 1114505807) is an individual family provider in North Branch, Michigan, licensed in Michigan (4704336069) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114505807
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB FITZPATRICK
Location Address5830 N LAPEER RD STE B&CNorth Branch, MI 48461-9660
Mailing Address5830 N Lapeer Rd Ste B-dNorth Branch, MI 48461-9660 · (810) 545-0235 · Fax (810) 545-0409
Phone(810) 545-0235
Sole ProprietorNo
Enumeration DateApril 1, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1114505807 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 · 4704336069
5830 N LAPEER RD STE B&C, North Branch, MI 48461
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Fitzpatrick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48461 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

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

MRS. JESSE LYNN ARMSTRONG NURSE PRACTITIONER
Nurse Practitioner (Family)
5830 N LAPEER RD STE B&C
NORTH BRANCH, MI 48461
Lapeer County (810) 255-1070

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 Jacob Fitzpatrick's NPI number?

The NPI number for Jacob Fitzpatrick is 1114505807. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Jacob Fitzpatrick located?

Jacob Fitzpatrick practices at 5830 N Lapeer Rd Ste B&c, North Branch, MI 48461. The listed phone number is (810) 545-0235.

What is Jacob Fitzpatrick's specialty?

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

Is Jacob Fitzpatrick enrolled in Medicare?

Yes. Jacob Fitzpatrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Fitzpatrick was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.