MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1124280219

MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER) is a healthcare provider. based in Grand rapids, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 4704119236 (MI). The NPI Number for MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER) is 1124280219

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER)
NPI
1124280219
Phone
(616) 526-6187
Address
3200 KNIGHT WAY SE
Enumeration Date
30 June 2008
Last Update Date
30 June 2008

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
9335456763
Group Practice PAC ID
0446157291
Professional Enrollment ID
I20150917002177
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER)

  • 3200 KNIGHT WAY SE

    CALVIN COLLEGE HEALTH SERVICES

    GRAND RAPIDS, MI 495464407

    Phone: (616) 526-6187

    Fax: (616) 526-6548

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-06-23 • Largest payer in this snapshot: PFIZER INC. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 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: 0446157291View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER) in the U.S.?
In the U.S., MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER) is identified by NPI 1124280219.
Should I treat MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER) as an active provider?
Patients and plans typically see MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER) as active in the national extract.
How should patients interpret MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER)'s specialty?
The extract shows Family Nurse Practitioner for MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
What city is tied to MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER)?
The directory associates MS. JAYNE DEUR PETTINGA (NURSE PRACTITIONER) with Grand Rapids, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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