JENNA MULDER (FNP) – Family Nurse Practitioner, NPI 1033933833

Family Nurse Practitioner

JENNA MULDER (FNP) is a healthcare provider. based in Charlotte, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704357333 (MI). The NPI Number for JENNA MULDER (FNP) is 1033933833

Main info

Female

2 Years Of Experience

Accepts Medicare Assignment

Name

JENNA MULDER (FNP)

NPI

1033933833

Phone

(517) 242-3382

Address

2357 PINCH HWY

Enumeration Date

9 November 2024

Last Update Date

9 November 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2024 (2 years ago)

PAC ID

5294264016

Group Practice PAC ID

5991692634

Professional Enrollment ID

I20250123002666

Address ID

MI488271952EA1500XSTXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness75

Years active:1State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for JENNA MULDER (FNP)

2357 PINCH HWY
CHARLOTTE, MI 488138776
Phone: (517) 242-3382
Type: Mailing
1500 S MAIN ST
EATON RAPIDS, MI 488271952
Phone: (517) 663-2671
Type: Location

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: 2025-01-23

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20250123002666	I	Nurse Practitioner	MI	TBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48813)

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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: 5991692634View full group profile

Name	Specialty	State
WALEED OBAID (M.D)	Hospitalist, Internal Medicine	MI
MORGAN MARIE YOUELL (NP)	Nurse Practitioner	MI
LARRY JOHN JR. LUTZ (CRNA)	-	MI
DR. TUDOR R TIEN (M.D.)	Orthopedic Surgery	MI
DILLON OMMODT (DPT)	Physical Therapist In Private Practice	IL
KERRI N SINNOTT	Nurse Practitioner	MI
MRS. SHANNON MARIE BIERGANS (MS, MSN, RN, FNP-BC)	Nurse Practitioner	MI
MATTHEW LEWIS DRAPER (FNP-C, RN, AT, ATC)	Nurse Practitioner	MI
HEIDI RENEE PUSEY (CNP)	Nurse Practitioner	MI
CIRE NEMETH (DO)	Internal Medicine	MI

Reviews

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Frequently asked questions

Does JENNA MULDER (FNP) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — JENNA MULDER (FNP) uses 1033933833.

Is JENNA MULDER (FNP) listed as active for patients and plans?

The listing shows JENNA MULDER (FNP) as active in the NPI system.

What taxonomy line describes JENNA MULDER (FNP)?

For research purposes, treat JENNA MULDER (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.

Does JENNA MULDER (FNP) list a practice location?

Patients near Charlotte, Michigan may find JENNA MULDER (FNP) in results; validate coverage separately.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.