DR. JACQUELINE M FITZGERALD D.O.
NPI 1205862455
General Practice in Ossineke, MI

Q: What is Jacqueline Fitzgerald's NPI number?

The NPI number for Jacqueline Fitzgerald is 1205862455. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Jacqueline Fitzgerald's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 22, 2006PECOS Enrolled

11745 US HIGHWAY 23 S, OSSINEKE, MI 49766(989) 471-2156(989) 471-5257 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jacqueline M Fitzgerald D.o. NPPES

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

DR. JACQUELINE M FITZGERALD D.O. (NPI 1205862455) is an individual general practice provider in Ossineke, Michigan, licensed in Michigan (5101009215) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205862455

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. JACQUELINE M FITZGERALDCredential: D.O.

Location Address11745 US HIGHWAY 23 SOssineke, MI 49766-9582

Mailing Address11745 Us Highway 23 SOssineke, MI 49766-9582 · (989) 471-2156 · Fax (989) 471-5257

Phone(989) 471-2156

Fax(989) 471-5257

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateFebruary 2, 2021

NPPES CertifiedFebruary 2, 2021

✔ NPI 1205862455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 5101009215

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

11745 US HIGHWAY 23 S, Ossineke, MI 49766

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Other Identifiers 2

Medicaid2888399MI

Medicaid1990638MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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)

Dr. Jacqueline M Fitzgerald D.o. 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers24 claims50 services$6.86 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers28 claims29 services$18.34 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers33 claims34 services$111.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

MYMICHIGAN MEDICAL CENTER ALPENA

Pharmacy (Community/Retail Pharmacy)