JAN HAZEL PROKOSCH FNPC
NPI 1639105372
Nurse Practitioner in Munising, MI

Q: What is Jan Prokosch's NPI number?

The NPI number for Jan Prokosch is 1639105372. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Jan Prokosch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jan Prokosch was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 24, 2006PECOS Enrolled

1500 SANDPOINT RD, MUNISING, MI 49862(906) 387-4110(906) 387-3514 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jan Hazel Prokosch Fnpc NPPES

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

JAN HAZEL PROKOSCH FNPC (NPI 1639105372) is an individual nurse practitioner in Munising, Michigan, licensed in Michigan (4704215502) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639105372

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJAN HAZEL PROKOSCHCredential: FNPC

Location Address1500 SANDPOINT RDMunising, MI 49862-1406

Mailing Address1500 Sandpoint RdMunising, MI 49862-1406 · (906) 387-4110 · Fax (906) 387-3514

Phone(906) 387-4110

Fax(906) 387-3514

Sole ProprietorNo

Enumeration DateJune 24, 2006

Last NPPES UpdateNovember 30, 2012

✔ NPI 1639105372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704215502

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.

1500 SANDPOINT RD, Munising, MI 49862

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Other Identifiers 4

Medicare PINP17990004

Other5008770770MI · Blue Cross Blue Shield

Medicare PINP29950016

Medicare UPINP92372

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jan Hazel Prokosch Fnpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49862 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 20

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

DR. CHELSEA ELISE RAY MD

Family Medicine