Active NPI
Jesse Frank Hartpence, DO
- Gastroenterology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5101028022
- Practice address
- 4100 Lake Dr SE
Grand Rapids, MI 49546-8292 - Phone
- (616) 267-7414
- NPI assigned
- Apr 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036165273 | IL | |
| Gastroenterology Physician | 207RG0100X | 5101028022 | MI | Primary |
Addresses
Primary practice location
4100 Lake Dr SE
Grand Rapids, MI 49546-8292
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other practice location 1
1009 S Wood St
Chicago, IL 60612-3747
Phone (312) 996-7598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000
4100 Lake Dr SE
Grand Rapids, MI 49546-8292
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
Hospital & facility affiliations
- Spectrum Health
- Corewell Health Zeeland Hospital
- Corewell Health Big Rapids Hospital
- Corewell Health Reed City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 50 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 266 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036165273 | IL | MD | Gastroenterology Physician |
| 5101028022 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Lakeland Medical Practices | Internal Medicine | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Internal Medicine | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Internal Medicine | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Lakeland Medical Practices | Internal Medicine | Current | Accepting new patients |
Locations
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
840 S Wood St
Ste 718E
Chicago, IL 60612
Phone (312) 996-0141
7732 Solutions Ctr
Chicago, IL 60677
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4100 Lake Dr SE
Grand Rapids, MI 49546
Phone (616) 267-7400
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
Interoperability endpoints
- jhartpence356291@epic00.corewelldirect.org
- jhartpence729712@direct.hfhs.org
- jhartpence149918@uihealth.direct-ci.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1609094739
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- Critical Access Hospital
- Reed City, MI
- NPI 1437259843
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- General Acute Care Hospital
- Zeeland, MI
- NPI 1275536344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1447784202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468292",
"telephone_number": "616-267-7414"
}
],
"practiceLocations": [
{
"address_1": "1009 S Wood St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123747",
"country_code": "US",
"telephone_number": "312-996-7598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTPENCE",
"first_name": "JESSE",
"middle_name": "FRANK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-18",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036165273",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "5101028022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.