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

Q: 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.

Q: What is Jacob Fitzpatrick's specialty?

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

Q: 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.

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: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Fitzpatrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carelon Medical Partners, PC

519 mi

Hospice and Palliative Medicine

22 CENTURY BLVD STE 220
Nashville, TN 37214

Reassigned Medicare billing, Wisconsin enrollment
31 clinicians in this Medicare group

NPI 1124443403 (615) 454-9850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Jacob Fitzpatrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Fitzpatrick reassigns Medicare benefits to Carelon Medical Partners, PC (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Fitzpatrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.