JENNIFER HAUPTMAN – Psychologist, NPI 1205386265

JENNIFER HAUPTMAN is a healthcare provider. based in Lansing, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 6301012475 (MI). The NPI Number for JENNIFER HAUPTMAN is 1205386265

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER HAUPTMAN
NPI
1205386265
Phone
(517) 346-8200
Address
812 E JOLLY RD
Enumeration Date
13 October 2016
Last Update Date
13 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173468200
Graduation Year
2003 (23 years ago)
PAC ID
6103299987
Group Practice PAC ID
2668376732
Professional Enrollment ID
I20230224002386
Address ID
MI489106818LA812XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for JENNIFER HAUPTMAN

  • 812, East Jolly Road, Lansing, Ingham County, Michigan, 48910, United States

    LANSING, MI 489106818

    Phone: (517) 346-8200

    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: 2023-02-24

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
I20230224002386IPsychologist Billing IndependentlyMITBD

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 48910)

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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: 2668376732View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
-MI
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIFER HAUPTMAN's NPI?
Yes. JENNIFER HAUPTMAN is listed with NPI 1205386265 in the public NPI dataset.
Can I rely on JENNIFER HAUPTMAN being an active provider?
As of the registry snapshot, JENNIFER HAUPTMAN is marked active.
What is JENNIFER HAUPTMAN's primary classification?
Psychologist is the headline specialty for JENNIFER HAUPTMAN here. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER HAUPTMAN on a map?
Expect Lansing, Michigan as a primary anchor for JENNIFER HAUPTMAN unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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