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FATIMA MABALOT CORTEZ NP
NPI 1508431792
Nurse Practitioner in East Jordan, MI

Active since May 21, 2021PECOS EnrolledAccepts Medicare Assignment
1728 S PENINSULA RD, EAST JORDAN, MI 49727(231) 536-2286 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2024, May 21, 2021 (2 updates tracked since 2021).

About Fatima Mabalot Cortez Np NPPES

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

FATIMA MABALOT CORTEZ NP (NPI 1508431792) is an individual nurse practitioner in East Jordan, Michigan, licensed in Michigan (4704361503) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508431792
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFATIMA MABALOT CORTEZCredential: NP
Location Address1728 S PENINSULA RDEast Jordan, MI 49727-9410
Mailing Address271 Parkview DrKingsley, MI 49649-9479 · (907) 738-3173
Phone(231) 536-2286
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 21, 2021
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1508431792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704361503
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704361503 (MI)
1728 S PENINSULA RD, East Jordan, MI 49727
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Fatima Mabalot Cortez Np 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 ID9931649951
PECOS Enrollment IDI20240905001064
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 Fatima Cortez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Inpatient Physicians-Michigan PLLC
41 mi
Internal Medicine
1100 E MICHIGAN AVE
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1639311996 (989) 348-5461
Theoria Medical
191 mi
Internal Medicine
6247 GRAND RIVER RD STE 400
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1164186946 (810) 215-7177
Complexcare Medical Group Midwest H PLLC
204 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 clinicians in this Medicare group
NPI 1457144933 (248) 660-1220
Hospitalist Medicine Physicians Of Michigan - Saginaw PLLC
1,777 mi
Internal Medicine
1498 PACIFIC AVE STE 400
Tacoma, WA 98402
  • Reassigned Medicare billing, Michigan enrollment
  • 36 clinicians in this Medicare group
NPI 1922739762 (615) 577-6340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
317 services100 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
48 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
35 services35 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
31 services28 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49727 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.

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.

KATHLEEN SUE HILL OTRL
Occupational Therapist (Physical Rehabilitation)
1728 S PENINSULA RD
EAST JORDAN, MI 49727
Charlevoix County (231) 535-2286
COUNTY OF CHARLEVOIX
Skilled Nursing Facility
1728 S PENINSULA RD
EAST JORDAN, MI 49727
Charlevoix County (231) 536-2286
MR. FERDINAND CHIANG UY PT
Physical Therapist (Geriatrics)
1728 S PENINSULA RD
EAST JORDAN, MI 49727
Charlevoix County (231) 536-2286

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 Fatima Cortez's NPI number?

The NPI number for Fatima Cortez is 1508431792. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Fatima Cortez located?

Fatima Cortez practices at 1728 S Peninsula Rd, East Jordan, MI 49727. The listed phone number is (231) 536-2286.

What is Fatima Cortez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fatima Cortez enrolled in Medicare?

Yes. Fatima Cortez 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 Fatima Cortez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatima Cortez reassigns Medicare benefits to 4 organizations: Sound Inpatient Physicians-Michigan PLLC (Grayling, MI), Theoria Medical (Brighton, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI) and Hospitalist Medicine Physicians Of Michigan - Saginaw PLLC (Tacoma, WA). 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 Fatima Cortez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fatima Cortez accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Fatima Cortez 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 Fatima Cortez affiliated with any hospitals?

According to CMS data, Fatima Cortez is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Fatima Cortez was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.