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JACQUELINE BEATRICE PLAMONDON FNP-BC
NPI 1255617619
Nurse Practitioner - Family in Traverse City, MI

Active since October 31, 2011PECOS Enrolled
1135 E 8TH ST, TRAVERSE CITY, MI 49686(231) 929-1844(231) 929-2084 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1255617619
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE BEATRICE PLAMONDONCredential: FNP-BC
Location Address1135 E 8TH STTraverse City, MI 49686-2936
Mailing Address425 Cherry St SeGrand Rapids, MI 49503-4601 · (616) 774-7705 · Fax (616) 774-7005
Phone(231) 929-1844
Fax(231) 929-2084
Sole ProprietorNo
Enumeration DateOctober 31, 2011
Last NPPES UpdateJuly 17, 2014
✔ NPI 1255617619 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 · 4704246735
1135 E 8TH ST, Traverse City, MI 49686
Open in Google Maps ↗

Other Identifiers 1

Medicaid1144293465MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Beatrice Plamondon Fnp-bc 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.

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.

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.

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.

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
1 supplier12 claims12 services$109.33 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 3

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

CAROL JEAN SODMAN RNC WHNP
Nurse Practitioner (Women's Health)
1135 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 929-1844
MRS. JANNA LYNN DEERING
Specialist
1135 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 929-2054
PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN, INC
Clinic/Center (Family Planning, Non-Surgical)
1135 E 8TH ST
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 929-1844

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.

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.