JARED TIPPETT (DO) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1194306837

JARED TIPPETT (DO) is a healthcare provider. based in Jackson, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101027274 (MI). The NPI Number for JARED TIPPETT (DO) is 1194306837

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JARED TIPPETT (DO)
NPI
1194306837
Phone
Not provided
Address
205 N EAST AVE
Enumeration Date
15 April 2021
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2485362127
Graduation Year
2021 (5 years ago)
PAC ID
8628474772
Group Practice PAC ID
6800234592
Professional Enrollment ID
I20230726002248
Address ID
MI492011753JA205XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for JARED TIPPETT (DO)

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone:

    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)

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: 2023-07-26

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
I20230726002248IEmergency 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
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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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: 6800234592View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I cross-check JARED TIPPETT (DO) using NPI 1194306837?
NPI 1194306837 belongs to JARED TIPPETT (DO); compare other details if you need extra assurance.
Would JARED TIPPETT (DO) appear as active to a payer?
You can treat JARED TIPPETT (DO) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JARED TIPPETT (DO)?
At a glance, JARED TIPPETT (DO) is tied to Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is JARED TIPPETT (DO) located near Jackson?
JARED TIPPETT (DO) currently maps to Jackson, Michigan in this extract.
When was this NPI issued?
Enumeration for JARED TIPPETT (DO) is noted as April 15, 2021 where the registry provides it.

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