DR. LARA JEAN BAATENBURG (MD) – Family Medicine Physician, NPI 1336590843

DR. LARA JEAN BAATENBURG (MD) is a healthcare provider. based in Wyoming, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301109996 (MI). The NPI Number for DR. LARA JEAN BAATENBURG (MD) is 1336590843

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARA JEAN BAATENBURG (MD)
NPI
1336590843
Phone
(616) 685-3300
Address
950 36TH ST SW
Enumeration Date
27 June 2016
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
3476841677
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20190712002379
Address ID
MI495463808GR5060XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. LARA JEAN BAATENBURG (MD)

  • 950 36TH ST SW

    WYOMING, MI 49509

    Phone: (616) 685-3300

    Fax: (616) 685-3303

    Type: Location

  • 950 36th St SW

    Wyoming, MI 49509

    Phone: (616) 685-3300

    Fax: (616) 685-3303

    Type: Location

  • 25 Michigan St NE

    Grand Rapids, MI 495032515

    Phone: (616) 267-0800

    Type: Location

  • 6741 FULTON ST E STE 200

    ADA, MI 493019502

    Phone: (616) 290-1650

    Fax: (833) 973-4117

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $375.

Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: PFIZER INC. ($150).

Total Amount

$375

General + Research + Ownership

Payments

9

Total payment records

General Amount

$375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2019-07-12

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
I20190712002379IFamily PracticeMITBD

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 minutes5242$0
99215Established patient office or other outpatient visit, 40-54 minutes5040$0
99213Established patient office or other outpatient visit, 20-29 minutes2825$0
View full utilization report →

Insurance plans in this area (ZIP 49509)

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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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I verify DR. LARA JEAN BAATENBURG (MD) with an NPI only?
You can start verification with NPI 1336590843 for DR. LARA JEAN BAATENBURG (MD), then check state licensing separately.
Is DR. LARA JEAN BAATENBURG (MD) listed as active for patients and plans?
The listing shows DR. LARA JEAN BAATENBURG (MD) as active in the NPI system.
What healthcare role does DR. LARA JEAN BAATENBURG (MD) hold?
Scheduling teams often label DR. LARA JEAN BAATENBURG (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LARA JEAN BAATENBURG (MD)?
DR. LARA JEAN BAATENBURG (MD)'s geographic hint is Wyoming, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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