Jenni Kaye Kunik, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005069 Issued in MI

Practice address

1221 South Dr
Mt Pleasant, MI 48858-3257

Phone

(989) 772-6700

Fax

(989) 772-6807

NPI assigned

Dec 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• 303 Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Yuma, AZ
  • NPI 1518398585
  Medicare reassignment
• Cep America- Arizona, PC

  • Emergency Medicine Physician
  • Chandler, AZ
  • NPI 1780202804
  Medicare reassignment
• Emcare - PNX Emergency Physicians LLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1902855992
  Medicare reassignment
• Loop 101 Emergency Physicians LLC

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1376573378
  Medicare reassignment
• Cep America-Arizona, PC

  dba Vituity

  • Emergency Medicine Physician
  • Sun City, AZ
  • NPI 1306210224
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1629250279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 SAINT ANDREWS DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589070",
            "telephone_number": "989-772-6700",
            "fax_number": "989-772-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SOUTH DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583257",
            "telephone_number": "989-772-6700",
            "fax_number": "989-772-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIK",
        "first_name": "JENNI",
        "middle_name": "KAYE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "5601005069",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Krompetz
• Michael Roy Kruscke, D.D.S.
• Destini Kruse
• Tiffany Kruse, PT, DPT
• Corinna Rachel Kudwa, MS, RDN
• Justin Joseph Kunik
• Tolga Kurt, M.D.
• Rebecca M Kuzmanko
• Alexandria Ryan La, LMSW
• Mary Lachance

• Physician Assistant in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.