MR. JEFFREY RAYNER LAPENNAS (NP) – Nurse Practitioner, NPI 1265114227

MR. JEFFREY RAYNER LAPENNAS (NP) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704394815 (MI). The NPI Number for MR. JEFFREY RAYNER LAPENNAS (NP) is 1265114227

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY RAYNER LAPENNAS (NP)
NPI
1265114227
Phone
(313) 533-5002
Address
19100 W 7 MILE RD
Enumeration Date
1 August 2023
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138674100
Graduation Year
2022 (4 years ago)
PAC ID
0244694578
Group Practice PAC ID
5799175741
Professional Enrollment ID
I20250918002146
Address ID
OH450133961HA1302XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MR. JEFFREY RAYNER LAPENNAS (NP)

  • 19100 W 7 MILE RD

    DETROIT, MI 482192758

    Phone: (313) 533-5002

    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: 2025-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230919003824INurse PractitionerMITBD
I20250918002146INurse PractitionerOHTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11236$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5126$0
View full utilization report →

Insurance plans in this area (ZIP 48219)

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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: 5799175741View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerNJ
Nurse PractitionerKY
Clinical Social WorkerIN
Nurse PractitionerTN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JEFFREY RAYNER LAPENNAS (NP)?
NPI 1265114227 is assigned to MR. JEFFREY RAYNER LAPENNAS (NP) under the national enumeration system.
Is MR. JEFFREY RAYNER LAPENNAS (NP)'s NPI currently valid?
The extract we use shows MR. JEFFREY RAYNER LAPENNAS (NP) as active.
What field does MR. JEFFREY RAYNER LAPENNAS (NP) work in?
You can think of MR. JEFFREY RAYNER LAPENNAS (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. JEFFREY RAYNER LAPENNAS (NP)?
The page summarizes Detroit, Michigan for MR. JEFFREY RAYNER LAPENNAS (NP); 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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