Jennifer J. Koetje, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002222 Issued in MI

Practice address

116 W Colby St Ste D
Whitehall, MI 49461-1084

Phone

(231) 292-1240

Fax

(231) 292-1088

NPI assigned

Aug 2, 2005

Last updated

Jan 21, 2024By the provider in NPPES

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

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

Specialty

Physician Assistant

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Pointe Medical PLLCGroup PAC ID 2860849759, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066
• Mercy Health Lakeshore Campus Hospital, Shelby, MI, CCN 231320

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.koetje.1@29755.direct.athenahealth.com

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.

• Compass Pointe Medical PLLC

  • Medical Physician Assistant
  • Whitehall, MI
  • NPI 1013695626
  Medicare reassignment Care Compare group Authorized official
• Mercy Health Partners

  dba Trinity Health Medical Group

  • Certified Registered Nurse Anesthetist
  • Shelby, MI
  • NPI 1154910172
  Medicare reassignment NPD
• Mercy Health Partners

  dba Trinity Health Medical Group Primary Care Shelby

  • Rural Health Clinic/Center
  • Shelby, MI
  • NPI 1588080030
  NPD
• Mercy Specialty Services

  dba Trinity Health Medical Group

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1629010384
  NPD (past)
• Newaygo County General Hospital Association

  dba Corewell Health Gerber Hospital

  • Critical Access Hospital
  • Fremont, MI
  • NPI 1063836963
  NPD (past)
• Newaygo County General Hospital Association

  dba Corewell Health Gerber Hospital Professional

  • Hospitalist Physician
  • Fremont, MI
  • NPI 1750404927
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Partners

  dba MHP - Lakeshore Campus

  • Critical Access Hospital
  • Shelby, MI
  • NPI 1285662981
  Care Compare affiliation
• Mercy Health Partners

  dba Mercy Health Muskegon

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1912908997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST STE D",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611084",
            "telephone_number": "231-292-1240",
            "fax_number": "231-292-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST STE D",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611084",
            "telephone_number": "231-292-1240",
            "fax_number": "231-292-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOETJE",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Stewart Jackson, OD
• Kima Johnson, FNP
• Kelly's Kare Afc
• Kellys Kare Community Life Skills LLC
• Joseph Gerard Kerschen, D.O.
• James Lynn Kolbe, LPC, LLP, FLE
• Melanie R Lahrman, DPT
• Lakeshore Community Hospital Inc. (Lakeshore Medical Center Whitehall)
• Lakeshore Community Hospital, Inc.
• Lakeshore Community Hospital, Inc. (Lakeshore Medical Center Whitehall)

• Medical Physician Assistant in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.