Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639105372 Individual Practitioner Female Practitioner

Jan Hazel Prokosch , FNP-C

Nurse Practitioner • Munising, MI

Professional Overview & Biography Verified Profile Summary

Jan Prokosch, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Munising, MI. Practice services are available at 1500 SANDPOINT RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Sandpoint Rd

Munising, MI 498621406

Telephone 9063874110
Fax 9063873514
Associated Practice Facility / Clinic
🏢 Great Lakes Recovery Centers Facility NPI 1619202447

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Munising, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Munising, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $315.00 $103.29

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704215502

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
5008770770 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Paula Ackerman , MS RD CDE

Dietitian, Registered

NPI 1154592491

MSRDCDE

Myrth Condon , NP

Nurse Practitioner - Family

NPI 1184690760

Nurse Practitioner

Bonnie Kilpela , PA

Physician Assistant

NPI 1326022286

Physician Assistant

Dylan Koenig , PA

Physician Assistant

NPI 1780156232

Physician Assistant

Nicole Roth , PA

Physician Assistant

NPI 1831447770

Physician Assistant

Bridget Stoetzer

Physician Assistant

NPI 1952013575

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2012

Registered at 1500 SANDPOINT RD, MUNISING, MI 498621406 (Tel: 9063874110)

📍
Updated Business Mailing Address November 30, 2012

Registered at 1500 SANDPOINT RD, MUNISING, MI 498621406 (Tel: 9063874110)

👤
Provider Name / Credentials Updated November 30, 2012

Recorded as JAN PROKOSCH, FNPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2012

Nurse Practitioner (License #4704215502 in MI)

🟢
Initial NPI Registration & Enumeration June 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639105372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2006
Last Update: November 30, 2012
Sole Proprietor: No

Mailing Address

1500 Sandpoint Rd

Munising, MI 498621406

Phone: 9063874110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.