Active NPI
Tracy Jensen
- Family Medicine Physician
- Caledonia, MI
National Provider Identifier
1447948534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301518100
- Practice address
- 8941 N Rodgers CT SE
Caledonia, MI 49316-8013 - Phone
- (517) 364-5710
- NPI assigned
- Apr 26, 2023
- Last updated
- Sep 22, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301518100 | MI | Primary |
Addresses
Primary practice location
8941 N Rodgers CT SE
Caledonia, MI 49316-8013
Mailing address
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Western Michigan Un Homer Stryker School of Med, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351050664 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1447948534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8941 N RODGERS CT SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493168013",
"telephone_number": "517-364-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301518100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.