Kassidy Treacey
Kassidy Treacey is a Family Nurse Practitioner in Jackson, MI, registered under NPI 1003603481.
Getting there
Here is what surrounds this office in Jackson, based on OpenStreetMap data collected Sep 28, 2026. Parking is available about 0.52 mi away. There is EV charging 0.35 mi from the office — useful if you are driving in from out of town. If you arrive early, there is a coffee shop 0.45 mi away.
Getting here and what is nearby
Parking 320 ft ~2 min
Parking 439 ft ~2 min
EV charging ChargePoint 0.21 mi ~5 min
Restaurant Grand River Brewery 0.25 mi ~5 min
117 Louis Glick Highway
Mo-Th 07:00-22:00; Fr 07:00-23:00; Sa 09:00-23:00; Su 09:00-20:00
Restaurant City Crepes 0.29 mi ~6 min
Tu-Sa 10:00-16:00
Restaurant Nite Lite 0.30 mi ~7 min
145 West Pearl Street, Jackson 49201
Mo-Th 11:00-23:00; Fr,Sa 11:00-24:00
EV charging 0.35 mi ~8 min
Coffee Jackson Coffee Company 0.45 mi ~10 min
201 South Mechanic Street, Jackson 49201
Mo-Fr 07:00-19:00; Sa 08:00-19:00
Parking 0.52 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4704352886 | MI | Family Nurse Practitioner primary |
This provider holds licence 4704352886 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 7618482811
- Enrollment ID
- I20250716001964
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003603481 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 21, 2025 |
| Last updated | Apr 21, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Practice address |
505 N JACKSON ST Jackson, MI 49201 (517) 748-5500 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 6 | 0 | 3 | 4 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 3 | 0 | 6 | 4 | 7 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.