JENNA WONSOWICZ (DO) – Emergency Medicine Physician, NPI 1194215657

JENNA WONSOWICZ (DO) is a healthcare provider. based in Warren, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101025779 (MI). The NPI Number for JENNA WONSOWICZ (DO) is 1194215657

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JENNA WONSOWICZ (DO)
NPI
1194215657
Phone
(586) 201-6513
Address
29656 NEWPORT DR
Enumeration Date
10 May 2018
Last Update Date
20 May 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8106065933
Graduation Year
2018 (8 years ago)
PAC ID
0840690632
Group Practice PAC ID
9830345677
Professional Enrollment ID
I20210616000881
Address ID
MI484398065GR1XXXXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for JENNA WONSOWICZ (DO)

  • 29656, Newport Drive, Warren, Macomb County, Michigan, 48088, United States

    WARREN, MI 480888503

    Phone: (586) 201-6513

    Type: Mailing

  • Saint John Macomb-Oakland Hospital, Madison Heights, 27351, Dequindre Road, Madison Heights, Macomb County, Michigan, 48071, United States

    MADISON HEIGHTS, MI 480713487

    Phone: (248) 967-7661

    Fax: (248) 967-7876

    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: 2021-06-16

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
I20210616000881IEmergency 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 making227220$0
99284Emergency department visit with moderate level of medical decision making103102$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5454$0
99239Hospital discharge day management, more than 30 minutes4141$0
99238Hospital discharge day management, 30 minutes or less2323$0
View full utilization report →

Insurance plans in this area (ZIP 48088)

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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: 9830345677View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineNM
Emergency MedicineMI

Reviews

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Frequently asked questions

What federal number belongs to JENNA WONSOWICZ (DO)?
The federal identifier for JENNA WONSOWICZ (DO) is NPI 1194215657.
Does this profile mean JENNA WONSOWICZ (DO) is currently active?
Yes — JENNA WONSOWICZ (DO) appears active in the national provider directory.
Does JENNA WONSOWICZ (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for JENNA WONSOWICZ (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNA WONSOWICZ (DO)?
The page summarizes Warren, Michigan for JENNA WONSOWICZ (DO); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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