FREDERICK P JAECKLEIN MD
NPI 1306828009
Internal Medicine in Marquette, MI
About Frederick P Jaecklein Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERICK P JAECKLEIN MD (NPI 1306828009) is an individual internal medicine provider in Marquette, Michigan, licensed in Michigan (049842) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Frederick P Jaecklein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Frederick Jaecklein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marquette, MI 49855
- Reassigned Medicare billing, Michigan enrollment
- 440 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 49855 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Frederick Jaecklein's NPI number?
The NPI number for Frederick Jaecklein is 1306828009. It was assigned to this individual provider in the NPPES registry on November 17, 2005.
Where is Frederick Jaecklein located?
Frederick Jaecklein practices at 1414 W. Fair Avenue Ste 201, Marquette, MI 49855. The listed phone number is (906) 225-4500.
What is Frederick Jaecklein's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Frederick Jaecklein enrolled in Medicare?
Yes. Frederick Jaecklein is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Frederick Jaecklein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Jaecklein reassigns Medicare benefits to Dlp Marquette Physician Practices Inc (Marquette, 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 Frederick Jaecklein'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 Frederick Jaecklein was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Frederick P Jaecklein, MD · NPI 1306828009
Internal Medicine physician in Marquette, Michigan. Individual provider, active in the CMS NPPES registry since November 17, 2005.
## Identity
- **NPI:** 1306828009 (Entity type: Individual)
- **Enumerated:** November 17, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 049842 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1414 W. FAIR AVENUE, STE 201, Marquette, MI 49855
- **Phone:** (906) 225-4500 · **Fax:** (906) 225-3919
## 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:** Dlp Marquette Physician Practices Inc (NPI 1073861431, Marquette, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2019
- **Other identifiers:** Other 381358036011 (MI); Medicaid 3138366 (MI); Other 110030846 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1306828009) · Data from the CMS NPPES public registry.