MARY JEAN DEGRAVE (N.P.) – Family Nurse Practitioner, NPI 1255735494

MARY JEAN DEGRAVE (N.P.) is a healthcare provider. based in Watersmeet, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. 4704236417 (MI). The NPI Number for MARY JEAN DEGRAVE (N.P.) is 1255735494

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY JEAN DEGRAVE (N.P.)
NPI
1255735494
Phone
(906) 285-2605
Address
E21892 CROOKED LAKE RD
Enumeration Date
17 October 2014
Last Update Date
17 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9069322525
Graduation Year
2014 (12 years ago)
PAC ID
1456673128
Group Practice PAC ID
9032013198
Professional Enrollment ID
I20141208001624
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MARY JEAN DEGRAVE (N.P.)

  • E21892 CROOKED LAKE RD

    WATERSMEET, MI 499699740

    Phone: (906) 285-2605

    Type: Mailing

  • 1721 S STEPHENSON AVE

    IRON MOUNTAIN, MI 498013637

    Phone: (906) 774-1313

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 49969)

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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: 9032013198View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
Internal Medicine, Pediatric MedicineMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YWI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Nurse Midwife (Cnm)MI
U R O L O G YCO
Neurology, Internal MedicineMI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

Where can patients find MARY JEAN DEGRAVE (N.P.)'s NPI?
You can confirm MARY JEAN DEGRAVE (N.P.) with NPI 1255735494; it appears in the national provider directory.
Is MARY JEAN DEGRAVE (N.P.) currently active in the NPI registry?
CMS-published data lists MARY JEAN DEGRAVE (N.P.) as an active registrant.
What field does MARY JEAN DEGRAVE (N.P.) work in?
You can think of MARY JEAN DEGRAVE (N.P.) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MARY JEAN DEGRAVE (N.P.) practice in Michigan?
You will see Watersmeet, Michigan on file for MARY JEAN DEGRAVE (N.P.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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