DR. MARY ANNE PURTILL M.D.
NPI 1831192483
Surgery - Trauma Surgery in Jackson, MI

Active since May 27, 2005PECOS Enrolled
1100 E MICHIGAN AVE, STE 201, JACKSON, MI 49201(517) 817-7605(517) 817-7606 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mary Anne Purtill M.d. NPPES

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

DR. MARY ANNE PURTILL M.D. (NPI 1831192483) is an individual trauma surgery provider in Jackson, Michigan, licensed in Michigan (4301075397) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831192483
Entity TypeIndividualFemale
Primary Taxonomy2086S0127X
Provider Legal NameDR. MARY ANNE PURTILLCredential: M.D.
Location Address1100 E MICHIGAN AVE, STE 201Jackson, MI 49201-1847
Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267-2728 · (517) 817-7605 · Fax (517) 817-7606
Fax(517) 817-7606
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateMarch 14, 2013
NPI 1831192483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in MI · 4301075397
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License G076836 (CA)
1100 E MICHIGAN AVE, Jackson, MI 49201

Other Identifiers 3

OtherZZZP4310ZCA · Medicare Id - Stanford Surgery Dept
Medicare UPING97130CA
Medicare PINM95720072MI

Accepted 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)

Dr. Mary Anne Purtill M.d. 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.

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.

Nurse Practitioner (Acute Care)
1100 E MICHIGAN AVE
JACKSON, MI 49201
Obstetrics & Gynecology
1100 E MICHIGAN AVE, STE 205
JACKSON, MI 49201
Internal Medicine (Infectious Disease)
1100 E MICHIGAN AVE, SUITE 305
JACKSON, MI 49201
Pharmacist
1100 E MICHIGAN AVE
JACKSON, MI 49201
Surgery (Vascular Surgery)
1100 E MICHIGAN AVE, SUITE 310
JACKSON, MI 49201
Internal Medicine (Hematology & Oncology)
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Physician Assistant
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Pharmacist
1100 E MICHIGAN AVE
JACKSON, MI 49201

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 Mary Anne Purtill's NPI number?

The NPI number for Mary Anne Purtill is 1831192483. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Mary Anne Purtill located?

Mary Anne Purtill practices at 1100 E Michigan Ave Ste 201, Jackson, MI 49201. The listed phone number is (517) 817-7605.

What is Mary Anne Purtill's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Mary Anne Purtill enrolled in Medicare?

Yes. Mary Anne Purtill is registered in the Medicare PECOS enrollment system.

What insurance does Mary Anne Purtill accept?

Health plans from Priority Health list Mary Anne Purtill 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 Mary Anne Purtill was last updated on March 14, 2013. 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.