TAMMY MARIE MILBOCKER (NP-C) – Nurse Practitioner, NPI 1790209161

TAMMY MARIE MILBOCKER (NP-C) is a healthcare provider. based in Prudenville, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704201808 (MI). The NPI Number for TAMMY MARIE MILBOCKER (NP-C) is 1790209161

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY MARIE MILBOCKER (NP-C)
NPI
1790209161
Phone
(989) 366-2900
Address
2585 W HOUGHTON LAKE DR
Enumeration Date
27 July 2017
Last Update Date
26 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9892824003
Graduation Year
2017 (9 years ago)
PAC ID
0244506285
Group Practice PAC ID
9537345400
Professional Enrollment ID
I20171019001034
Address ID
MI486042620SA4760XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for TAMMY MARIE MILBOCKER (NP-C)

  • Mercy Community Health Center Prudenville, 2585, West Houghton Lake Drive, Prudenville, Denton Township, Roscommon County, Michigan, 48651, United States

    PRUDENVILLE, MI 486519624

    Phone: (989) 366-2900

    Fax: (989) 366-1166

    Type: Mailing

  • 4760 FASHION SQUARE BLVD STE L-1

    SAGINAW, MI 486042620

    Phone: (989) 282-4003

    Fax: (888) 491-7220

    Type: Location

  • 560 W MITCHELL ST STE 505

    PETOSKEY, MI 497702277

    Phone: (231) 487-2100

    Fax: (231) 487-1909

    Type: Mailing

  • 801 ROSEHILL RD

    JACKSON, MI 492021762

    Phone: (517) 212-2008

    Fax: (517) 212-9023

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 137 Open Payments records for all available years, with a total value of $2,467.

Total Amount is formed as General ($2,467) + Research ($0) + Ownership ($0) = $2,467.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($997).

Total Amount

$2,467

General + Research + Ownership

Payments

137

Total payment records

General Amount

$2,467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

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: 2017-10-19

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
I20171019001034INurse 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: 9537345400View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Internal MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

How do I look up TAMMY MARIE MILBOCKER (NP-C) by NPI?
Use NPI 1790209161 when you need to reference TAMMY MARIE MILBOCKER (NP-C) in forms, claims, or directories.
Is TAMMY MARIE MILBOCKER (NP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does TAMMY MARIE MILBOCKER (NP-C) treat or focus on?
Patients typically see TAMMY MARIE MILBOCKER (NP-C) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for TAMMY MARIE MILBOCKER (NP-C)?
We surface Prudenville, Michigan for TAMMY MARIE MILBOCKER (NP-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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