JESSICA MASTBERGEN (NP) – Adult Health Nurse Practitioner, NPI 1023501699
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for JESSICA MASTBERGEN (NP)
Munson Healthcare Cadillac Hospital, 400, Hobart Street, Cadillac, Wexford County, Michigan, 49601, United States
CADILLAC, MI 496012331
Phone: (231) 876-6223
Fax: (231) 876-6121
Type: Mailing
208, Sixth Street, Central Neighborhood, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842360
Phone: (231) 935-2045
Fax: (231) 935-0857
Type: Location
10850 E TRAVERSE HWY STE 1155
TRAVERSE CITY, MI 496841363
Phone: (231) 268-0013
Fax: (469) 319-9379
Type: Mailing
5015 N ROYAL DR
TRAVERSE CITY, MI 496849292
Phone: (231) 935-0850
Fax: (231) 935-0869
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $523.
Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Tandem Diabetes Care, Inc. ($124).
Total Amount
$523
General + Research + Ownership
Payments
22
Total payment records
General Amount
$523
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tandem Diabetes Care, Inc. | $124 |
| Novo Nordisk Inc | $65 |
| Abbott Laboratories | $50 |
| Exact Sciences Corporation | $49 |
| GlaxoSmithKline, LLC. | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180723003518 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 312 | 127 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 207 | 92 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 49601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | MI | |
| Family Practice | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Family Practice | MI |
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