JACQUELINE HOURTIENNE (FNP-BC) – Family Nurse Practitioner, NPI 1699437566
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for JACQUELINE HOURTIENNE (FNP-BC)
944 BALDWIN RD STE A
LAPEER, MI 484463089
Phone: (810) 245-5562
Type: Mailing
600 HEALTH PARK BLVD STE H
GRAND BLANC, MI 484392558
Phone: (810) 606-1624
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $572.
Total Amount is formed as General ($572) + Research ($0) + Ownership ($0) = $572.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Melinta Therapeutics, LLC ($135).
Total Amount
$572
General + Research + Ownership
Payments
27
Total payment records
General Amount
$572
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Melinta Therapeutics, LLC | $135 |
| Urgo Medical North America, LLC | $129 |
| ABBVIE INC. | $83 |
| Paratek Pharmaceuticals, Inc. | $53 |
| Lilly USA, LLC | $42 |
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: 2021-11-02
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 |
|---|---|---|---|---|
| I20211102001256 | 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 |
|---|---|---|---|---|
| J0878 | Injection, daptomycin, 1 mg | 37,250 | 17 | $0 |
| J0897 | Injection, denosumab, 1 mg | 900 | 15 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 241 | 109 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 107 | 42 | $0 |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 49 | 17 | $0 |
Insurance plans in this area (ZIP 48446)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI |
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