TAMMY BROZ FNP-BC
NPI 1609392802
Nurse Practitioner - Family in Petoskey, MI

Active since August 18, 2017PECOS EnrolledAccepts Medicare Assignment
560 W MITCHELL ST STE 300, PETOSKEY, MI 49770(231) 487-2460 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2019, Aug 18, 2017 (2 updates tracked since 2017).

About Tammy Broz Fnp-bc NPPES

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

TAMMY BROZ FNP-BC (NPI 1609392802) is an individual family provider in Petoskey, Michigan, licensed in Michigan (4704284370) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2017).

NPPES Registry Identity

NPI1609392802
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMMY BROZCredential: FNP-BC
Location Address560 W MITCHELL ST STE 300Petoskey, MI 49770-2278
Mailing Address560 W Mitchell St Ste 300Petoskey, MI 49770-2278 · (231) 487-2460
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2017
Enumeration DateAugust 18, 2017
Last NPPES UpdateSeptember 4, 20192 updates tracked since enumeration
✔ NPI 1609392802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704284370
560 W MITCHELL ST STE 300, Petoskey, MI 49770

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

Tammy Broz Fnp-bc 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 ID244596674
PECOS Enrollment IDI20171117000585
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

2

Medicare enrollment records show Tammy Broz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatopathology
1951 S OTSEGO AVE
Gaylord, MI 49735
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Boyne Country Urgent Care PC
  • 3 clinicians in this Medicare group
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 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 49770 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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$184.92 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

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

Physician Assistant
560 W MITCHELL ST STE 300
PETOSKEY, MI 49770

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 Tammy Broz's NPI number?

The NPI number for Tammy Broz is 1609392802. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Tammy Broz located?

Tammy Broz practices at 560 W Mitchell St Ste 300, Petoskey, MI 49770. The listed phone number is (231) 487-2460.

What is Tammy Broz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tammy Broz enrolled in Medicare?

Yes. Tammy Broz 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 Tammy Broz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Broz reassigns Medicare benefits to 2 organizations: Boyne Country Urgent Care P.C. (Gaylord, MI) and Mclaren Central Michigan (Mt Pleasant, 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 Tammy Broz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Broz accept?

Health plans from Priority Health list Tammy Broz 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.

When was this NPI record last updated?

The NPPES record for Tammy Broz was last updated on September 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.