JAMIE WAGNER BARNWELL (DO) – Family Medicine Physician, NPI 1053986307

JAMIE WAGNER BARNWELL (DO) is a healthcare provider. based in Traverse city, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101027776 (MI). The NPI Number for JAMIE WAGNER BARNWELL (DO) is 1053986307

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE WAGNER BARNWELL (DO)
NPI
1053986307
Phone
(231) 935-8460
Address
550 Munson Ave
Enumeration Date
20 May 2021
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2319358460
Graduation Year
2021 (5 years ago)
PAC ID
8123469491
Group Practice PAC ID
8820277015
Professional Enrollment ID
I20240517000467
Address ID
MI496863580TR550XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for JAMIE WAGNER BARNWELL (DO)

  • 550 Munson Ave

    Traverse City, MI 496863580

    Phone: (231) 935-8460

    Type: Location

  • MUNSON FAMILY PRACTICE CENTER

    1400 MEDICAL CAMPUS DRIVE

    TRAVERSE CITY, MI 49684

    Phone: (231) 935-8012

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-05-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240517000467IFamily PracticeMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49686)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820277015View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Internal MedicineMI
Physician AssistantMI
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

What identifier follows JAMIE WAGNER BARNWELL (DO) across health systems?
The NPI 1053986307 uniquely identifies JAMIE WAGNER BARNWELL (DO) in U.S. healthcare data.
Quick check: is JAMIE WAGNER BARNWELL (DO) active?
Public NPPES data shows JAMIE WAGNER BARNWELL (DO) with an active NPI status right now.
Which specialty label fits JAMIE WAGNER BARNWELL (DO)?
NPPES ties JAMIE WAGNER BARNWELL (DO) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JAMIE WAGNER BARNWELL (DO)?
JAMIE WAGNER BARNWELL (DO) is associated with Traverse City, Michigan in the same public data insurers reference.
Why is information missing for JAMIE WAGNER BARNWELL (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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