Jessica Mastbergen, NP - Medicare Nurse Practitioner in Traverse City, MI

Jessica Mastbergen, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Traverse City, Michigan. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grand Traverse Internists Pc and her current practice location is 5015 N Royal Dr, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-0850.

Jessica Mastbergen is licensed to practice in Michigan (license number 4704301869) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023501699.

Contact Information

Jessica Mastbergen, NP
5015 N Royal Dr,
Traverse City, MI 49684-9292
(231) 935-0850
(231) 935-0869

Map and Direction




Provider's Profile

Full NameJessica Mastbergen
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location5015 N Royal Dr, Traverse City, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Mastbergen graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1023501699
  • Provider Enumeration Date: 06/08/2018
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395092233
  • Enrollment ID: I20180723003518

Medical Identifiers

Medical identifiers for Jessica Mastbergen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023501699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704301869 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Medical CenterTraverse city, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Traverse Internists Pc00423749779

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Mastbergen allows following entities to bill medicare on her behalf.
Entity NameGrand Traverse Internists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578559365
PECOS PAC ID: 0042374977
Enrollment ID: O20090121000604

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Mastbergen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Mastbergen, NP
5015 N Royal Dr,
Traverse City, MI 49684-9292

Ph: (231) 935-0850
Jessica Mastbergen, NP
5015 N Royal Dr,
Traverse City, MI 49684-9292

Ph: (231) 935-0850

Reviews and Comments


Nurse Practitioner Nurses in Traverse City, MI

Dr. Ariel Marie Ennis, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-3250    
Harriet Sue Barner, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684
Phone: 231-932-3000    Fax: 231-932-3801
Ms. Christine Marie Sykes, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684
Phone: 231-947-1112    
Kellie Ann Herringa, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684
Phone: 231-932-3000    Fax: 231-932-3801
Ms. Karri G Hagan, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686
Phone: 231-421-6921    Fax: 231-421-7852
Matthew Nathan Smith,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1104 Cass St, Traverse City, MI 49684
Phone: 231-941-1155    Fax: 231-259-1005
Carol Jean Sodman, RNC WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1135 E 8th St, Traverse City, MI 49686
Phone: 231-929-1844    Fax: 231-949-2084

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.