JESSICA NEUROTH
NPI 1487036513
Family Medicine in Lewiston, MI

Q: What is Jessica Neuroth's NPI number?

The NPI number for Jessica Neuroth is 1487036513. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Q: What is Jessica Neuroth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Neuroth was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment

3040 BOURN ST, LEWISTON, MI 49756(989) 786-4877(989) 786-2187 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Feb 3, 2026 (2 updates tracked since 2026).

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About Jessica Neuroth NPPES

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

JESSICA NEUROTH (NPI 1487036513) is an individual family medicine provider in Lewiston, Michigan, licensed in Michigan (5101021563) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1487036513

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESSICA NEUROTH

Location Address3040 BOURN STLewiston, MI 49756-8134

Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-5000

Phone(989) 786-4877

Fax(989) 786-2187

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015

Enumeration DateJune 25, 2015

Last NPPES UpdateJune 8, 20262 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1487036513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101021563

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3040 BOURN ST, Lewiston, MI 49756

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Secondary Practice Locations 4

Location 11100 E Michigan AveGrayling, MI 49738-1312 · Phone (989) 348-5461 · Fax (989) 348-5724

Location 21250 E Michigan Ave Ste CGrayling, MI 49738-7074 · Phone (989) 348-0550 · Fax (989) 348-0473

Location 3825 N Center AveGaylord, MI 49735-1592 · Phone (989) 731-7996 · Fax (989) 731-9151

Location 41105 Sixth StTraverse City, MI 49684-2386 · Phone (231) 935-6250 · Fax (231) 935-8357

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Neuroth 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 ID3870857121

PECOS Enrollment IDI20180514001877

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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230058

Location1100 E Michigan AveGrayling, MI 49738 · Crawford County

Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230080

Location1221 South DriveMount Pleasant, MI 48858 · Isabella County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230133

Location825 N Center AveGaylord, MI 49735 · Otsego County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49756 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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers13 claims48 services$2.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers39 claims39 services$20.19 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers14 claims14 services$6.19 avg. paid by Medicare

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

4 suppliers51 claims51 services$107.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 11

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

JENNIFER ERIN MCBRIDE AGNP-C

Nurse Practitioner