Jenna Rayis, M.S., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009188 Issued in MI

Practice address

1017 Orchard Grove Dr
Royal Oak, MI 48067-4331

Phone

(248) 836-8764

NPI assigned

May 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jrayis1148689@direct.hfhs.org
• Direct secure messaging: jrayis5997734@direct.beaumont.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Independent Hospitalist Physicians, PLLC

  • Hospitalist Physician
  • Southfield, MI
  • NPI 1851820641
  Medicare reassignment
• Independent Observation Physicians PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Southfield, MI
  • NPI 1700119500
  Medicare reassignment
• Ceis PLLC

  • Adolescent Medicine (Family Medicine) Physician
  • Bloomfield Hills, MI
  • NPI 1972363125
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1013574086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 WOODLAND HILLS DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 ORCHARD GROVE DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674331",
            "telephone_number": "248-836-8764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 N Blair Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480671437",
            "country_code": "US",
            "telephone_number": "248-836-8764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYIS",
        "first_name": "JENNA",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrayis5997734@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1777 Axtell Dr Ste 202",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480844435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Rau
• K P. Ravikrishnan, MD
• Sarah Lynn Rawski, PA-C
• Denise Ray, NP
• Raydiant Therapy PLLC
• Taylor Rayis, M.S., PA-C
• Roozbeh Reza Razmi, DO
• Kendra Rea
• Michael Reardon, CRNA
• Erin Reaume

• Physician Assistant in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.