Individual provider Active NPI

Cynthia L Jensen, D.O.

  • Medical Oncology Physician
  • Laurium, MI
National Provider Identifier
1871553255
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
5101014312 Issued in MI
Practice address
205 Osceola St
Laurium, MI 49913-2134
Phone
(906) 337-6560
Fax
(906) 337-6582
NPI assigned
Mar 28, 2006
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 16864 SD
Medical Oncology Physician 207RX0202X 5101014312 MI Primary

Addresses

Primary practice location

205 Osceola St
Laurium, MI 49913-2134

Mailing address

1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-0405

Other identifiers 3

IdentifierTypeStateIssuer
P01393231OtherMIRAILROAD MEDICARE
1871553255OtherWIWI MEDICAID
1871553255MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091111000528 MI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6901835461 Reassigns benefits to 3 organizations
I20240530000973 WY Practitioner - Medical Oncology 6901835461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ivinson Memorial Hospital CurrentSince Mar 26, 2024 Accepting new patients
Mackinac Straits Health System Inc Family Medicine Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jun 14, 2017 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Ivinson Memorial Hospital CurrentSince Mar 26, 2024 Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine CurrentSince Jun 14, 2017 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Dec 1, 2017 Accepting new patients
Mackinac Straits Health System Inc Family Medicine CurrentSince Dec 1, 2017 Accepting new patients
McLaren Central Michigan Family Medicine CurrentSince Sep 6, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Sep 6, 2023 Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
Ivinson Memorial Hospital Past Accepting new patients
Advanced Physician Specialists Past Accepting new patients
Florida Cancer Institute New Hope PA Medical Oncology Past Accepting new patients
Mercy Hospital Grayling Past Accepting new patients

Locations

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1871553255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-0405",
            "fax_number": "906-643-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6560",
            "fax_number": "906-337-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "SD",
            "license": "16864",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "5101014312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01393231",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI MEDICAID",
            "identifier": "1871553255",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871553255",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurium, MI

Sources for this page

Verify at the official NPI Registry.