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

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: October 18, 2026.

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
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

Other Identifiers 4

Medicare PINP17990004
Other5008770770MI · Blue Cross Blue Shield
Medicare PINP29950016
Medicare UPINP92372

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Jan Prokosch reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3401 LUDINGTON ST
Escanaba, MI 49829
  • Reassigned Medicare billing, Michigan enrollment
  • 61 clinicians in this Medicare group
End-Stage Renal Disease (ESRD) Treatment
1328 US HIGHWAY 2
Crystal Falls, MI 49920
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1497750830 (Michigan)
  • 200 clinicians in this Medicare group
Family Medicine
18341 US HIGHWAY 41
Lanse, MI 49946
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1558479824 (Michigan)
  • 73 clinicians in this Medicare group
Urgent Care
505 W CLEVELAND RD
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 166 clinicians in this Medicare group
Urgent Care
6210 BRANDT PIKE
Huber Heights, OH 45424
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Hometown Urgent Care Of Michigan PC
  • 168 clinicians in this Medicare group
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 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.

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.

Family Medicine
1500 SANDPOINT RD
MUNISING, MI 49862
Clinic/Center (Rural Health)
1500 SANDPOINT RD
MUNISING, MI 49862
Nurse Practitioner (Family)
1500 SANDPOINT RD
MUNISING, MI 49862
Specialist/Technologist (Athletic Trainer)
1500 SANDPOINT RD
MUNISING, MI 49862
Physician Assistant
1500 SANDPOINT RD
MUNISING, MI 49862
Nurse Anesthetist, Certified Registered
1500 SANDPOINT RD
MUNISING, MI 49862
Specialist
1500 SANDPOINT RD
MUNISING, MI 49862
Family Medicine
1500 SANDPOINT RD
MUNISING, MI 49862

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 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.

Where is Jan Prokosch located?

Jan Prokosch practices at 1500 Sandpoint Rd, Munising, MI 49862. The listed phone number is (906) 387-4110.

What is Jan Prokosch's specialty?

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

Is Jan Prokosch enrolled in Medicare?

Yes. Jan Prokosch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jan Prokosch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jan Prokosch reassigns Medicare benefits to 6 organizations: Northern Michigan Emergency Physicians, LLP (Escanaba, MI), Aspirus Iron River Hospital & Clinics, Inc. (Crystal Falls, MI), Baraga County Memorial Hospital (Lanse, MI), Pic Indiana PC (Mishawaka, IN), Hometown Urgent Care Of Michigan, P.C. (Huber Heights, OH) and 1 more organization, listed in the Medicare section above. 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 Jan Prokosch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jan Prokosch accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jan Prokosch 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 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.