MRS. AMANDA JACQUES FNP
NPI 1376082487
Nurse Practitioner in Tawas City, MI
About Mrs. Amanda Jacques Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMANDA JACQUES FNP (NPI 1376082487) is an individual nurse practitioner in Tawas City, Michigan, licensed in Michigan (4704276177) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mrs. Amanda Jacques Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Jacques reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tawas City, MI 48763
- Reassigned Medicare billing, Michigan enrollment
- 56 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Mary's Hospital
Acute Care Hospitals · Saginaw, MITawas St Joseph Hospital
Acute Care Hospitals · Tawas City, MISaint Mary's Standish Community Hospital
Critical Access Hospitals · Standish, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48763 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 3
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 4
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 Amanda Jacques's NPI number?
The NPI number for Amanda Jacques is 1376082487. It was assigned to this individual provider in the NPPES registry on February 22, 2017.
Where is Amanda Jacques located?
Amanda Jacques practices at 295 Maple St Ste 202, Tawas City, MI 48763. The listed phone number is (989) 362-6108.
What is Amanda Jacques's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Amanda Jacques enrolled in Medicare?
Yes. Amanda Jacques 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 Amanda Jacques's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jacques reassigns Medicare benefits to Mymichigan Medical Center Tawas (Tawas 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 Amanda Jacques's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Jacques accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Amanda Jacques 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 Amanda Jacques affiliated with any hospitals?
According to CMS data, Amanda Jacques is affiliated with Ascension St Mary's Hospital, Tawas St Joseph Hospital and Saint Mary's Standish Community Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Jacques was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Amanda Jacques, FNP · NPI 1376082487
Nurse Practitioner physician in Tawas City, Michigan. Individual provider, active in the CMS NPPES registry since February 22, 2017.
## Identity
- **NPI:** 1376082487 (Entity type: Individual)
- **Enumerated:** February 22, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704276177 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 295 MAPLE ST STE 202, Tawas City, MI 48763-9352
- **Phone:** (989) 362-6108 · **Fax:** (989) 362-0161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mymichigan Medical Center Tawas (NPI 1235219965, Tawas City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376082487) · Data from the CMS NPPES public registry.