DR. JASON D OETMAN (DO) – Emergency Medicine Physician, NPI 1043879398

DR. JASON D OETMAN (DO) is a healthcare provider. based in Muskegon, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5151014073 (MI). The NPI Number for DR. JASON D OETMAN (DO) is 1043879398

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON D OETMAN (DO)
NPI
1043879398
Phone
(231) 727-5244
Address
1675 LEAHY ST STE 315A
Enumeration Date
11 June 2019
Last Update Date
5 November 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6166853900
Graduation Year
2019 (7 years ago)
PAC ID
2264830884
Group Practice PAC ID
3274425905
Professional Enrollment ID
I20211013000924
Address ID
MI493157974BY2373XSWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. JASON D OETMAN (DO)

  • Leahy Street, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494425543

    Phone: (231) 727-5244

    Fax: (231) 727-5223

    Type: Mailing

  • Mercy Health Hackley Campus, 1700, Clinton Street, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494425502

    Phone: (231) 728-4936

    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: 2021-10-13

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
I20211013000924IEmergency 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.

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

Insurance plans in this area (ZIP 49442)

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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: 3274425905View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
Nurse PractitionerMI
Emergency MedicineMI
Physician AssistantMI
Physician AssistantMI
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

How do payers reference DR. JASON D OETMAN (DO)?
For DR. JASON D OETMAN (DO), use NPI 1043879398 as the unique 10-digit identifier.
Is DR. JASON D OETMAN (DO) still an active registrant?
DR. JASON D OETMAN (DO) carries an active NPI according to the public dataset.
What kind of doctor is DR. JASON D OETMAN (DO)?
DR. JASON D OETMAN (DO) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JASON D OETMAN (DO)?
Directory geography for DR. JASON D OETMAN (DO) centers on Muskegon, Michigan.
When was this NPI issued?
Enumeration for DR. JASON D OETMAN (DO) is noted as June 11, 2019 where the registry provides it.

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