ELIZABETH JAYNE JEFFERS (MD) – Surgical Oncology Physician, NPI 1174787816

ELIZABETH JAYNE JEFFERS (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301081857 (MI). The NPI Number for ELIZABETH JAYNE JEFFERS (MD) is 1174787816

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH JAYNE JEFFERS (MD)
NPI
1174787816
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
11 July 2008
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9135881227
Graduation Year
2003 (23 years ago)
PAC ID
0648326405
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20231024002084
Address ID
KS661600001KA4000XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for ELIZABETH JAYNE JEFFERS (MD)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 588 E LAKEWOOD BLVD FL 2

    HOLLAND, MI 494242023

    Phone: (616) 494-5830

    Type: Location

  • 4000 CAMBRIDGE ST

    KANSAS CITY, KS 661608501

    Phone:

    Type: Mailing

  • 10740 NALL AVE STE 320

    OVERLAND PARK, KS 662111223

    Phone: (913) 588-3448

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $598.

Total Amount is formed as General ($598) + Research ($0) + Ownership ($0) = $598.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Elucent Medical ($201).

Total Amount

$598

General + Research + Ownership

Payments

7

Total payment records

General Amount

$598

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-24

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
I20231024002084IGeneral SurgeryKSTBD

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 49503)

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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: 8921911587View full group profile

Reviews

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Frequently asked questions

What is the registry number for ELIZABETH JAYNE JEFFERS (MD)?
The registry entry for ELIZABETH JAYNE JEFFERS (MD) shows NPI 1174787816.
Should I treat ELIZABETH JAYNE JEFFERS (MD) as an active provider?
Patients and plans typically see ELIZABETH JAYNE JEFFERS (MD) as active in the national extract.
What type of care does ELIZABETH JAYNE JEFFERS (MD) provide?
ELIZABETH JAYNE JEFFERS (MD)'s profile centers on Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ELIZABETH JAYNE JEFFERS (MD)?
The directory associates ELIZABETH JAYNE JEFFERS (MD) with Grand Rapids, Michigan. Check all listed addresses for suites or satellite offices.
Can I export ELIZABETH JAYNE JEFFERS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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