MRS. JAMI LEE GROSBERG (FNP-C) – Nurse Practitioner, NPI 1407474364

MRS. JAMI LEE GROSBERG (FNP-C) is a healthcare provider. based in Prudenville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704307079 (MI). The NPI Number for MRS. JAMI LEE GROSBERG (FNP-C) is 1407474364

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JAMI LEE GROSBERG (FNP-C)
NPI
1407474364
Phone
(989) 366-2900
Address
2585 W Houghton Lake Dr
Enumeration Date
8 July 2020
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9893662900
Graduation Year
2020 (6 years ago)
PAC ID
5890107064
Group Practice PAC ID
2062736655
Professional Enrollment ID
I20201211000355
Address ID
MI486519624PR2585XDRXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. JAMI LEE GROSBERG (FNP-C)

  • 2585 W Houghton Lake Dr

    Prudenville, MI 486519624

    Phone: (989) 366-2900

    Type: Location

  • 1996 Walden Dr

    Gaylord, MI 497358241

    Phone: (989) 731-4111

    Fax: (989) 705-8511

    Type: Location

  • 1794 LAKEWOOD DR

    GAYLORD, MI 497359078

    Phone: (989) 590-3539

    Type: Mailing

  • 573 N BRADLEY HWY

    ROGERS CITY, MI 497791508

    Phone: (989) 734-2171

    Fax: (989) 734-2312

    Type: Mailing

  • 1105 Sixth St

    Traverse City, MI 496842345

    Phone: (231) 935-5000

    Fax: (231) 392-7356

    Type: Location

  • 829 N Center Ave Ste 140

    Gaylord, MI 497351598

    Phone: (989) 731-7860

    Type: Location

  • 829 N Center Ave Ste 210

    Gaylord, MI 497351599

    Phone: (989) 731-7833

    Type: Location

  • 1250 E Michigan Ave

    Grayling, MI 497387074

    Phone: (989) 348-0550

    Fax: (989) 348-0473

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2023-03-24 • Largest payer in this snapshot: Novo Nordisk Inc ($35).

Total Amount

$115

General + Research + Ownership

Payments

7

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-12-11

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
I20201211000355INurse PractitionerMITBD

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 48651)

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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: 2062736655View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
-NY

Reviews

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Frequently asked questions

Does MRS. JAMI LEE GROSBERG (FNP-C) have a public NPI I can cite?
Public records show MRS. JAMI LEE GROSBERG (FNP-C) under NPI 1407474364.
Is MRS. JAMI LEE GROSBERG (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. JAMI LEE GROSBERG (FNP-C) as active.
Which specialty label fits MRS. JAMI LEE GROSBERG (FNP-C)?
NPPES ties MRS. JAMI LEE GROSBERG (FNP-C) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. JAMI LEE GROSBERG (FNP-C)?
The directory associates MRS. JAMI LEE GROSBERG (FNP-C) with Prudenville, Michigan. Check all listed addresses for suites or satellite offices.
Can I export MRS. JAMI LEE GROSBERG (FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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