Individual provider Active NPI

Jennifer Ann Dentler, NP-C

  • Family Nurse Practitioner
  • Allegan, MI
National Provider Identifier
1073830428
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704223063 Issued in MI
Practice address
551 Linn St
Allegan, MI 49010-1595
Phone
(269) 686-5800
Fax
(269) 686-5899
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704223063 MI
Family Nurse Practitioner 363LF0000X 4704223063 MI Primary
Women's Health Nurse Practitioner 363LW0102X 4704223063 MI

Addresses

Primary practice location

551 Linn St
Allegan, MI 49010-1595

Mailing address

551 Linn St
Allegan, MI 49010-1595
Phone (269) 686-5800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110323000597 MI Practitioner - Nurse Practitioner 7113100462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimed Healthcare Partners PLLCGroup PAC ID 6305283011, 4 clinicians

Practice addresses (Care Compare)

6480 Technology Ave
Suite a
Kalamazoo, MI 49009-8126
Phone (877) 232-2857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704223063MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Allegan Hospital CurrentSince Oct 27, 2018 Accepting new patients
Optimed Healthcare Partners, PLLC CurrentSince Apr 20, 2024 Accepting new patients
Ascension Borgess Allegan Hospital Current Accepting new patients
Ascension Borgess Allegan Hospital CurrentSince Oct 27, 2018 Accepting new patients
Optimed Health Partners Inc Past Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

4021 Cascade Rd SE
Ste 60
Grand Rapids, MI 49546
Phone (269) 250-8000

6480 Technology Ave
Ste A
Kalamazoo, MI 49009
Phone (269) 250-8000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1073830428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-5800",
            "fax_number": "269-686-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101595",
            "telephone_number": "269-686-5800",
            "fax_number": "269-686-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTLER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704223063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704223063",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704223063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

Verify at the official NPI Registry.