JEAN M. MCDONOUGH (F.N.P.) – Family Nurse Practitioner, NPI 1295035244
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for JEAN M. MCDONOUGH (F.N.P.)
14700 LAKE SHORE DR
CHARLEVOIX, MI 497201931
Phone: (231) 547-8516
Fax: (231) 547-8088
Type: Mailing
3434 M 119
SUITE C
HARBOR SPRINGS, MI 497409373
Phone: (231) 348-9900
Fax: (989) 358-3780
Type: Location
14719 W Upright St
Charlevoix, MI 497201949
Phone: (231) 547-3840
Type: Location
1619 Anderson Rd
Petoskey, MI 497709256
Phone: (231) 417-6050
Fax: (231) 213-8749
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.
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: 2010-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101217000629 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 186 | 126 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 94 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 78 | 65 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 63 | 63 | $0 |
| G0008 | Administration of influenza virus vaccine | 25 | 25 | $0 |
Insurance plans in this area (ZIP 49720)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MI | 90670 | Pneumococcal vaccine for injection into muscle | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | MI |
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