JACQUELINE BEATRICE PLAMONDON FNP-BC
NPI 1255617619
Nurse Practitioner - Family in Traverse City, MI
About Jacqueline Beatrice Plamondon Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE BEATRICE PLAMONDON FNP-BC (NPI 1255617619) is an individual family provider in Traverse City, Michigan, licensed in Michigan (4704246735) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Beatrice Plamondon Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Plamondon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Traverse City, MI 49686
- Reassigned Medicare billing, Michigan enrollment
- 492 clinicians in this Medicare group
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 49686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVERSE CITY, MI 49686
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 Jacqueline Plamondon's NPI number?
The NPI number for Jacqueline Plamondon is 1255617619. It was assigned to this individual provider in the NPPES registry on October 31, 2011.
Where is Jacqueline Plamondon located?
Jacqueline Plamondon practices at 1135 E 8th St, Traverse City, MI 49686. The listed phone number is (231) 929-1844.
What is Jacqueline Plamondon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Plamondon enrolled in Medicare?
Yes. Jacqueline Plamondon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Plamondon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Plamondon reassigns Medicare benefits to Munson Medical Center (Traverse City, MI). 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 Jacqueline Plamondon'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 Jacqueline Plamondon was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jacqueline Beatrice Plamondon, FNP-BC · NPI 1255617619
Family physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since October 31, 2011.
## Identity
- **NPI:** 1255617619 (Entity type: Individual)
- **Enumerated:** October 31, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704246735 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1135 E 8TH ST, Traverse City, MI 49686-2936
- **Phone:** (231) 929-1844 · **Fax:** (231) 929-2084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Munson Medical Center (NPI 1306277553, Traverse City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2014
- **Other identifiers:** Medicaid 1144293465 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1255617619) · Data from the CMS NPPES public registry.