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JESSICA NEUROTH
NPI 1487036513
Family Medicine in Lewiston, MI

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: October 18, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jessica Neuroth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Munson Healthcare Otsego Memorial Hospital
Same address
Rural Health
3040 BOURN ST
Lewiston, MI 49756
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1285867838 (989) 786-4877
Munson Healthcare Grayling
19 mi
Rural Health
1321 S MOUNT TOM RD
Mio, MI 48647
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
NPI 1093349698 (989) 344-5820
Munson Medical Center
45 mi
Urology
405 N DIVISION RD STE 2
Petoskey, MI 49770
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
NPI 1396235610 (231) 487-2270
Sault Tribe Of Chippewa Indians
110 mi
Federally Qualified Health Center (FQHC)
2864 ASHMUN ST
Sault Sainte Marie, MI 49783
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
NPI 1477721058 (906) 632-5200

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 5

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse 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.

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
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 354-2197
LISA ANN STIER NP-C
Nurse Practitioner (Family)
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
ASHLEY BOROWIAK FNP-C
Nurse Practitioner (Family)
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
HANNAH B RUSSELL PA-C
Physician Assistant
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
General Practice
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877
STEPHANIE RUTTERBUSH MD
Family Medicine
3040 BOURN ST
LEWISTON, MI 49756
Montmorency County (989) 786-4877

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 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.

Where is Jessica Neuroth located?

Jessica Neuroth practices at 3040 Bourn St, Lewiston, MI 49756. The listed phone number is (989) 786-4877.

What is Jessica Neuroth's specialty?

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

Is Jessica Neuroth enrolled in Medicare?

Yes. Jessica Neuroth 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 organizations bill Medicare for Jessica Neuroth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Neuroth reassigns Medicare benefits to 4 organizations: Munson Healthcare Otsego Memorial Hospital (Lewiston, MI), Munson Healthcare Grayling (Mio, MI), Munson Medical Center (Petoskey, MI) and Sault Tribe Of Chippewa Indians (Sault Sainte Marie, MI). Each 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 Jessica Neuroth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Neuroth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Jessica Neuroth 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 Jessica Neuroth affiliated with any hospitals?

According to CMS data, Jessica Neuroth is affiliated with Munson Healthcare Grayling Hospital, Mclaren Central Michigan, Munson Medical Center, Mclaren Northern Michigan and Munson Healthcare Otsego Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Neuroth was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.