Active NPI
Jennifer Elise Fretz, D.O.
- Family Medicine Physician
- Trenton, MI
National Provider Identifier
1477531929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101012064
- Practice address
- 1570 Kingsway CT Ste 1
Trenton, MI 48183-1961 - Phone
- (833) 373-7389
- Fax
- (734) 301-3132
- NPI assigned
- Jan 5, 2006
- 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 | 5101012064 | MI | Primary |
Addresses
Primary practice location
1570 Kingsway CT Ste 1
Trenton, MI 48183-1961
Mailing address
1570 Kingsway CT Ste 1
Trenton, MI 48183-1961
Phone (833) 373-7389
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477531929 | Other | MI | COMMERCIAL INSURANCE |
| 1679755037 | Medicaid | MI | |
| 0858205524 | Other | MI | BCBS |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060220000438 | MI | Practitioner - Family Practice | 1456366988 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1570 Kingsway CT
Suite 1
Trenton, MI 48183-1961
Phone (833) 373-7389
Hospital & facility affiliations
- Wyandotte Hospital and Medical Center
- Beaumont Hospital - Dearborn
- Corewell Health Trenton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Fretz,PLC | Family Medicine | Current | Accepting new patients |
Locations
25620 Gibraltar Rd
Flat Rock, MI 48134
Phone (734) 789-8950
1570 Kingsway Ct
Ste 1
Trenton, MI 48183
Phone (833) 373-7389
Interoperability endpoints
- jennifer.fretz.1@23307.direct.athenahealth.com
- https://api.platform.athenahealth.com/7749/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1477531929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 KINGSWAY CT STE 1",
"city": "TRENTON",
"state": "MI",
"postal_code": "481831961",
"telephone_number": "833-373-7389",
"fax_number": "734-301-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 KINGSWAY CT STE 1",
"city": "TRENTON",
"state": "MI",
"postal_code": "481831961",
"telephone_number": "833-373-7389",
"fax_number": "734-301-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRETZ",
"first_name": "JENNIFER",
"middle_name": "ELISE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101012064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "1477531929",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679755037",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0858205524",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.