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ANNALIESE ELISABETH BANGERT FNP-C
NPI 1275495020
Nurse Practitioner - Family in Jackson, MI

Active since December 01, 2025PECOS EnrolledAccepts Medicare Assignment
1602 W MICHIGAN AVE, JACKSON, MI 49202(517) 879-1166(517) 879-5122 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Annaliese Elisabeth Bangert Fnp-c NPPES

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

ANNALIESE ELISABETH BANGERT FNP-C (NPI 1275495020) is an individual family provider in Jackson, Michigan, licensed in Michigan (4704363750) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275495020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNALIESE ELISABETH BANGERTCredential: FNP-C
Location Address1602 W MICHIGAN AVEJackson, MI 49202-4003
Mailing Address1602 W Michigan AveJackson, MI 49202-4003 · (517) 879-1166 · Fax (517) 879-5122
Phone(517) 879-1166
Fax(517) 879-5122
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1275495020 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 · 4704363750
1602 W MICHIGAN AVE, Jackson, MI 49202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annaliese Elisabeth Bangert Fnp-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 ID2062998248
PECOS Enrollment IDI20260107002877
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.

Medicare Billing Reassignment

Medicare enrollment records show Annaliese Bangert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iep Urgent Care - Jackson PLLC
0.7 mi
Urgent Care
729 E MICHIGAN AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 25 clinicians in this Medicare group
NPI 1336725688 (517) 539-3018

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 49202 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.

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 Annaliese Bangert's NPI number?

The NPI number for Annaliese Bangert is 1275495020. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Annaliese Bangert located?

Annaliese Bangert practices at 1602 W Michigan Ave, Jackson, MI 49202. The listed phone number is (517) 879-1166.

What is Annaliese Bangert's specialty?

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

Is Annaliese Bangert enrolled in Medicare?

Yes. Annaliese Bangert 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.

Which organization bills Medicare for Annaliese Bangert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annaliese Bangert reassigns Medicare benefits to Iep Urgent Care - Jackson PLLC (Jackson, 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 Annaliese Bangert'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 Annaliese Bangert was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.