Active NPI
Jennifer Nicole Bienz, PA-C
- Physician Assistant
- Hudsonville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007835
- Practice address
- 3440 Chicago Dr Ste 105
Hudsonville, MI 49426-1419 - Phone
- (616) 796-9560
- NPI assigned
- Jun 4, 2016
- Last updated
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007835 | MI | Primary |
Addresses
Primary practice location
3440 Chicago Dr Ste 105
Hudsonville, MI 49426-1419
Mailing address
3440 Chicago Dr Ste 105
Hudsonville, MI 49426-1419
Phone (616) 796-9560
Other names 1
- Jennifer Nicole Gateley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3440 Chicago Dr
Suite 105
Hudsonville, MI 49426-1427
Phone (616) 796-9560
577 Michigan Ave
Holland, MI 49423-4911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Physician Assistant | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Holland Community Hospital | Physician Assistant | Current | Accepting new patients |
| Holland Community Hospital | Past | Accepting new patients |
Locations
577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
3440 Chicago Dr
Ste 105
Hudsonville, MI 49426
Phone (616) 267-7888
11800 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 814-5100
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Interoperability endpoints
- jennifer.bienz@holland.eclinicaldirectplus.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Pulmonary Disease Physician
- Holland, MI
- NPI 1477166502
Physician Assistant
-
- Family Medicine Physician
- Hudsonville, MI
- NPI 1952130585
Physician Assistant
-
dba Virginia Mason Medical Center-Family Practice
- Family Medicine Physician
- Seattle, WA
- NPI 1922162809
-
dba Holland Hospital Ear, Nose, Throat & Allergy
- Otolaryngology Physician
- Holland, MI
- NPI 1982910857
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holland Hospital
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1306295936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 CHICAGO DR STE 105",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494261419",
"telephone_number": "616-796-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 CHICAGO DR STE 105",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494261419",
"telephone_number": "616-796-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIENZ",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-04",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GATELEY",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hudsonville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.