JENNY K DAVID (FNP) – Family Nurse Practitioner, NPI 1336383660

JENNY K DAVID (FNP) is a healthcare provider. based in Alger, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704224697 (MI). The NPI Number for JENNY K DAVID (FNP) is 1336383660

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JENNY K DAVID (FNP)
NPI
1336383660
Phone
(989) 873-5323
Address
5170 RIFLE RIVER TRL
Enumeration Date
30 April 2009
Last Update Date
15 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898462600
Graduation Year
2008 (18 years ago)
PAC ID
9638222615
Group Practice PAC ID
6103733092
Professional Enrollment ID
I20090810000238
Address ID
MI486589273ST4489XMXXX202
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JENNY K DAVID (FNP)

  • 5170 RIFLE RIVER TRL

    ALGER, MI 486109343

    Phone: (989) 873-5323

    Fax: (989) 873-3673

    Type: Location

  • East State Road, Selkirk, Churchill Township, Ogemaw County, Michigan, 48661, United States

    WEST BRANCH, MI 48661

    Phone: (989) 345-4967

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $824.

Total Amount is formed as General ($824) + Research ($0) + Ownership ($0) = $824.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Lilly USA, LLC ($158).

Total Amount

$824

General + Research + Ownership

Payments

46

Total payment records

General Amount

$824

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-10

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
I20090810000238INurse PractitionerMITBD

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 48610)

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Provider's Procedures

JENNY K DAVID (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMI85610Blood test, clotting time11413

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: 6103733092View full group profile
NameSpecialtyState
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
U R O L O G YTN
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Internal MedicineMI
Family PracticeMI
Infectious Disease, Internal MedicineMI

Reviews

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Frequently asked questions

How do payers reference JENNY K DAVID (FNP)?
For JENNY K DAVID (FNP), use NPI 1336383660 as the unique 10-digit identifier.
Is JENNY K DAVID (FNP) still an active registrant?
JENNY K DAVID (FNP) carries an active NPI according to the public dataset.
How would a patient describe JENNY K DAVID (FNP)'s focus?
For JENNY K DAVID (FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNY K DAVID (FNP)?
Directory geography for JENNY K DAVID (FNP) centers on Alger, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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