JENNIFER ANN MERVAU (DO) – Emergency Medicine Physician, NPI 1013438944

JENNIFER ANN MERVAU (DO) is a healthcare provider. based in Grand rapids, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101024892 (MI). The NPI Number for JENNIFER ANN MERVAU (DO) is 1013438944

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN MERVAU (DO)
NPI
1013438944
Phone
(616) 975-1845
Address
4100 EMBASSY DR SE STE 400
Enumeration Date
30 June 2017
Last Update Date
24 February 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8665427910
Graduation Year
2017 (9 years ago)
PAC ID
2163792359
Group Practice PAC ID
8628327384
Professional Enrollment ID
I20191030002635
Address ID
MI488382614GR615XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for JENNIFER ANN MERVAU (DO)

  • 4100 EMBASSY DR SE STE 400

    GRAND RAPIDS, MI 495462416

    Phone: (616) 975-1845

    Type: Mailing

  • Spectrum Health Pennock, 1009, West Green Street, Hastings, Barry County, Michigan, 49058, United States

    HASTINGS, MI 490581710

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191030002635IEmergency MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making9693$0
99284Emergency department visit with moderate level of medical decision making8377$0
99291Critical care, first 30-74 minutes4341$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628327384View full group profile
NameSpecialtyState
-MI
-NE
-IL
Emergency MedicineMI
Emergency MedicineIL
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Where can patients find JENNIFER ANN MERVAU (DO)'s NPI?
You can confirm JENNIFER ANN MERVAU (DO) with NPI 1013438944; it appears in the national provider directory.
Is JENNIFER ANN MERVAU (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JENNIFER ANN MERVAU (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for JENNIFER ANN MERVAU (DO). Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER ANN MERVAU (DO)?
The snapshot lists Grand Rapids, Michigan for JENNIFER ANN MERVAU (DO); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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