Individual provider Active NPI

Jennifer Engelby, PA-C

  • Physician Assistant
  • Saginaw, MI
National Provider Identifier
1811356512
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009522 Issued in MI
Practice address
926 N Michigan Ave
Saginaw, MI 48602-4369
Phone
(989) 753-8453
Fax
(989) 753-3519
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009522 MI Primary

Addresses

Primary practice location

926 N Michigan Ave
Saginaw, MI 48602-4369

Mailing address

926 N Michigan Ave
Saginaw, MI 48602-4369
Phone (989) 753-8453

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418000602 MI Practitioner - Physician Assistant 4981902905 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince Apr 14, 2023 Accepting new patients

Locations

3037 Silverwood Dr
Saginaw, MI 48603
Phone (517) 799-5600

900 Cooper Ave
Ste 3100
Saginaw, MI 48602
Phone (989) 583-5626

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122

Interoperability endpoints

  • Direct secure messaging: jengelby148702@direct.covenanthealthcare.com
  • Direct secure messaging: jennifer.engelby.1@20451.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1811356512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024369",
            "telephone_number": "989-753-8453",
            "fax_number": "989-753-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024369",
            "telephone_number": "989-753-8453",
            "fax_number": "989-753-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBY",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.