Jennifer Bakker, PA
Individual provider Active NPI Physician Assistant · Zeeland, MI
NPI 1619133014 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1619133014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601005716 (MI)
- Practice address
- 8300 Westpark Way
Zeeland, MI 49464-7901 - Phone
- (616) 748-5778
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holland Community Hospital
Practice addresses (Care Compare)
3232 N Wellness Dr
Holland Hospital Urgent Care
Holland, MI 49424-8027
Phone (616) 494-4250
577 Michigan Ave
Holland, MI 49423-4911
8300 Westpark Way
Zeeland, MI 49464-7901
Hospital & facility affiliations
- Holland Hospital
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 |
|---|---|---|---|---|
| I20110317000228 | MI | Practitioner - Physician Assistant | 2668538315 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Physician Assistant | Current |
Accepting new patients |
| Holland Community Hospital | Current |
Accepting new patients | |
| Holland Community Hospital | Physician Assistant | Past | Accepting new patients |
| Holland Community Hospital | Past | Accepting new patients |
Locations
415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208
15100 Whittaker Way
Grand Haven, MI 49417
Phone (616) 935-6200
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190
3232 N Wellness Dr
Holland, MI 49424
Phone (616) 494-4250
8300 Westpark Way
Zeeland, MI 49464
Phone (616) 748-5760
Interoperability endpoints
- jennifer.balisi@holland.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005716 | MI | Yes |
Addresses
Primary practice location
8300 Westpark Way
Zeeland, MI 49464-7901
Mailing address
8300 Westpark Way
Zeeland, MI 49464-7901
Other names
- Jennifer Yatchak Balisi
Other providers in Zeeland, MI
- Laura Jayne Arens
- Christina N Arnold
- Assist Rehabilitation PC
- Atrium Heritage LLC
- Back to Health Chiropractic Wellness Center P.C.
- Balanced Health Chiropractic Center
- Kaleb Matthew Bale
- Tessa Barks
- Kelly D Barney
- Laura A Bartels
All providers in Zeeland, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. 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.