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DOUGLAS GARY SUTCLIFFE JR. NP-C
NPI 1205406063
Nurse Practitioner - Family in South Range, MI

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
PO BOX 328, SOUTH RANGE, MI 49963(906) 364-1359 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2026, Apr 3, 2024, Jun 24, 2021 (3 updates tracked since 2021).

About Douglas Gary Sutcliffe Jr. Np-c NPPES

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

DOUGLAS GARY SUTCLIFFE JR. NP-C (NPI 1205406063) is an individual family provider in South Range, Michigan, licensed in Michigan (4704271786) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205406063
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOUGLAS GARY SUTCLIFFE JR.Credential: NP-C
Location AddressPO BOX 328South Range, MI 49963-0328
Mailing AddressPo Box 328South Range, MI 49963-0328 · (906) 364-1359
Phone(906) 364-1359
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1205406063 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 · 4704271786
PO BOX 328, South Range, MI 49963
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Gary Sutcliffe Jr. Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911392139
PECOS Enrollment IDI20220324001463, I20240701000778
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49963 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.

HEIDI ANNETTE SUTCLIFFE NP-C
Nurse Practitioner (Family)
PO BOX 328
SOUTH RANGE, MI 49963
Houghton County (906) 364-0231

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 Douglas Sutcliffe's NPI number?

The NPI number for Douglas Sutcliffe is 1205406063. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Douglas Sutcliffe located?

Douglas Sutcliffe practices at PO Box 328, South Range, MI 49963. The listed phone number is (906) 364-1359.

What is Douglas Sutcliffe's specialty?

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

Is Douglas Sutcliffe enrolled in Medicare?

Yes. Douglas Sutcliffe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Sutcliffe accept?

Health plans from Security Health Plan list Douglas Sutcliffe 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.

When was this NPI record last updated?

The NPPES record for Douglas Sutcliffe was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.