Jennifer Lynne Dykstra – Family Nurse Practitioner

Key facts

NPI: 1497700868
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 4704222326 (MI)
Practice address: 7128 Fulton St E
Ada, MI 49301-8413
Phone: (616) 825-3530
NPI assigned: May 24, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 16

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.

Pennock Hospital Family Medicine Physician · Hastings, MI · NPI 1518186295

Medicare reassignment Care Compare group NPD MI · NURSE PRACTITIONER
Spectrum Health Primary Care Partners Internal Medicine Physician · Grand Rapids, MI · NPI 1235188673

Medicare reassignment Care Compare group NPD MI
Sparrow Ionia Hospital Critical Access Hospital · Ionia, MI · NPI 1700820065

Medicare reassignment NPD MI
Sparrow Ionia Hospital Rural Health Clinic/Center · Saranac, MI · NPI 1811380066

Medicare reassignment NPD MI
Spectrum Health United General Acute Care Hospital · Greenville, MI · NPI 1457304495

Medicare reassignment NPD MI
Pennock Hospital Rural Health Clinic/Center · Middleville, MI · NPI 1013453760

Care Compare group
Pennock Hospital Rural Health Clinic/Center · Hastings, MI · NPI 1396190138

Care Compare group
Pennock Hospital Rural Health Clinic/Center · Wayland, MI · NPI 1801250907

Care Compare group
Pennock Hospital Rural Health Clinic/Center · Hastings, MI · NPI 1841644184

Care Compare group
Pennock Hospital Critical Access Hospital · Hastings, MI · NPI 1932695525

Care Compare group
Pennock Hospital Rural Health Clinic/Center · Lake Odessa, MI · NPI 1962889584

Care Compare group
Pennock Hospital Internal Medicine Physician · Hastings, MI · NPI 1750500435

NPD
Sparrow Ionia Hospital Family Medicine Physician · Ionia, MI · NPI 1033271143

NPD
Sparrow Ionia Hospital Rural Health Clinic/Center · Ionia, MI · NPI 1790980712

NPD FAMILY
Spectrum Health Primary Care Partners Internal Medicine Physician · Grand Rapids, MI · NPI 1689499667

NPD
Spectrum Health United Family Medicine Physician · Greenville, MI · NPI 1063781342

NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Pennock Hospital Critical Access Hospital · Hastings, MI · NPI 1932695525

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2004
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Pennock Hospital (79 clinicians)
Spectrum Health Primary Care Partners (2,283 clinicians)

Practice addresses (Care Compare)

1108 W State St
3 Corewell Health Pennock Hospital
Hastings, MI 49058-9711
Phone (269) 945-0922

12851 W M 179 Hwy
Corewell Health Pennock Hospital
Wayland, MI 49348-9318
Phone (877) 377-7322

4294 Laurel Dr
Lake Odessa, MI 48849-8430
Phone (616) 374-7660

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

490 Edward St
Corewell Health Pennock Hospital
Middleville, MI 49333-9131
Phone (269) 795-4434

9090 S Rodgers CT SE a
Corewell Health Medical Group West
Caledonia, MI 49316-8052
Phone (616) 891-0422

Hospital & facility affiliations

Corewell Health Pennock Hospital Hospital · Hastings, MI · CCN 231339

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20060921000217	MI	Practitioner - Nurse Practitioner	7315942588	Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Sparrow Ionia Hospital		Current since May 1, 2015	Accepting new patients
Sparrow Ionia Hospital		Current since May 1, 2015	Accepting new patients
Spectrum Health United		Current since Jan 25, 2026	Accepting new patients
Sparrow Ionia Hospital	Family	Current since Dec 1, 2021	Accepting new patients
Spectrum Health Primary Care Partners		Current since Oct 10, 2022	Accepting new patients
Sparrow Ionia Hospital		Current	Accepting new patients
Pennock Hospital		Current since Oct 10, 2022	Accepting new patients
Spectrum Health Primary Care Partners		Current since Oct 10, 2022	Accepting new patients
Spectrum Health United		Current since Jan 25, 2026	Accepting new patients
Pennock Hospital	Nurse Practitioner	Current since Oct 10, 2022	Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

7128 Fulton St E
Ada, MI 49301
Phone (616) 825-3500

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

9090 S Rodgers Ct SE
Caledonia, MI 49316
Phone (616) 891-0422

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600

80 68th St SE
Ste 202
Grand Rapids, MI 49548
Phone (616) 267-0759

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

1108 W State St
Hastings, MI 49058
Phone (269) 945-8080

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

550 E Washington St
Fl 2
Ionia, MI 48846
Phone (616) 523-1600

2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700

550 E Washington St
Ste 1
Ionia, MI 48846

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

4600 Breton Rd SE
Ste 102
Kentwood, MI 49508
Phone (616) 356-4161

4294 Laurel Dr
Lake Odessa, MI 48849
Phone (616) 374-0099

490 Edward St
Middleville, MI 49333
Phone (269) 795-4434

12851 W M 179 Hwy
Wayland, MI 49348
Phone (877) 377-7322

Interoperability endpoints

Direct secure messaging: jdykstra49357@epic00.corewelldirect.org
Direct secure messaging: jennifer.dykstra.1@31044.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	4704222326	MI	Yes

Addresses

Primary practice location

7128 Fulton St E
Ada, MI 49301-8413

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other providers in Ada, MI

All providers in Ada, MI · Family Nurse Practitioner in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.