JAMIE LYNN GOTHBERG NP
NPI 1235605833
Nurse Practitioner - Family in Ionia, MI

Active since October 22, 2018PECOS EnrolledAccepts Medicare Assignment
2776 S STATE RD, IONIA, MI 48846(616) 775-7500 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2023, Oct 22, 2018 (2 updates tracked since 2018).

About Jamie Lynn Gothberg Np NPPES

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

JAMIE LYNN GOTHBERG NP (NPI 1235605833) is an individual family provider in Ionia, Michigan, licensed in Michigan (4704276419) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Pennock Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235605833
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAMIE LYNN GOTHBERGCredential: NP
Location Address2776 S STATE RDIonia, MI 48846-8472
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 22, 2018
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
NPI 1235605833 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 · 4704276419
2776 S STATE RD, Ionia, MI 48846

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 and accepts Medicare assignment

Jamie Lynn Gothberg Np 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 ID8325382419
PECOS Enrollment IDI20181129003346
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.

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48846 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.

Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Family Medicine
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Family Medicine
2776 S STATE RD
IONIA, MI 48846
Nurse Practitioner (Family)
2776 S STATE RD
IONIA, MI 48846
Family Medicine
2776 S STATE RD
IONIA, MI 48846
Clinic/Center (Rural Health)
2776 S STATE RD
IONIA, MI 48846
Family Medicine
2776 S STATE RD
IONIA, MI 48846

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 Jamie Gothberg's NPI number?

The NPI number for Jamie Gothberg is 1235605833. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Jamie Gothberg located?

Jamie Gothberg practices at 2776 S State Rd, Ionia, MI 48846. The listed phone number is (616) 775-7500.

What is Jamie Gothberg's specialty?

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

Is Jamie Gothberg enrolled in Medicare?

Yes. Jamie Gothberg 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 Jamie Gothberg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Jamie Gothberg 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 Jamie Gothberg affiliated with any hospitals?

According to CMS data, Jamie Gothberg is affiliated with Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Jamie Gothberg was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.