JENNIFER BAUER (PH.D) – Clinical Psychologist, NPI 1295044451
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 CLINICAL PSYCHOLOGIST in MI
Provider Addresses for JENNIFER BAUER (PH.D)
3790 30TH ST SE
GRANDVILLE, MI 494181201
Phone: (616) 204-1180
Type: Location
3833 PINE MEADOW DR
HOLLAND, MI 494248594
Phone: (616) 644-0553
Type: Mailing
2675 44TH ST SW STE 305
WYOMING, MI 495194191
Phone: (616) 777-7123
Type: Location
4175 Parkway Place Dr SW Ste 104
Grandville, MI 494182382
Phone: (616) 805-3660
Fax: (616) 805-3631
Type: Location
330 E Beltline Ave NE Ste 320
Grand Rapids, MI 495061267
Phone: (616) 805-3660
Fax: (616) 805-3631
Type: Location
3790 30th st SE
Grandville, MI 494181201
Phone: (616) 204-1180
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: 2021-01-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210126002627 | I | Clinical Psychologist | MI | TBD |
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.
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 49418)
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