Jeanne M Kapenga, M.D.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

4301406814 Issued in MI

Practice address

4129 Okemos Rd Ste 6
Okemos, MI 48864-2821

Phone

(616) 822-5509

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• BHG Lxxxiii, LLC

  • Multi-Specialty Clinic/Center
  • Lansing, MI
  • NPI 1518677525
  NPD
• Ambulatory Anesthesia Associates, PC

  • Anesthesiology Physician
  • Monroe, MI
  • NPI 1952350555
  NPD (past)
• BHG Lxxxiii, LLC

  • Multi-Specialty Clinic/Center
  • Mt Pleasant, MI
  • NPI 1922712009
  NPD (past)
• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376
  NPD (past)
• Michigan Medical Anesthesia, .P,C,

  • Anesthesiology Physician
  • Flint, MI
  • NPI 1184775819
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1891742631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 HEMMINGWAY DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643836",
            "telephone_number": "616-822-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 OKEMOS RD STE 6",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642821",
            "telephone_number": "616-822-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPENGA",
        "first_name": "JEANNE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301406814",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MI",
            "license": "4301406814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4823348-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalkidan Afc Corp.
• Taylor Rose Kammer, BEHAVIOR TECHNICIAN
• Anastassiya Kan
• Muhammad Awais Kang, D.O
• Shubhra Kannan
• Ahmad Kareem
• Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC
• Karen M Newman LLC
• Ashna Karikalan
• Francine Louise Karim, MSW

• Addiction Medicine (Psychiatry & Neurology) Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.