JENNIFER ROLLENHAGEN (M.D.) – Diagnostic Radiology Physician, NPI 1386800175

JENNIFER ROLLENHAGEN (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 60819 (WI). The NPI Number for JENNIFER ROLLENHAGEN (M.D.) is 1386800175

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ROLLENHAGEN (M.D.)
NPI
1386800175
Phone
(616) 685-6200
Address
200 JEFFERSON AVE SE
Enumeration Date
1 August 2008
Last Update Date
10 September 2019

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6166855907
Graduation Year
2008 (18 years ago)
PAC ID
7810139334
Group Practice PAC ID
0648171850
Professional Enrollment ID
I20140501000418
Address ID
MI495034502GR200XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for JENNIFER ROLLENHAGEN (M.D.)

  • Mercy Health Saint Mary's, 200, Jefferson Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034502

    Phone: (616) 685-6200

    Type: Location

  • PO BOX 5329

    SAGINAW, MI 486030329

    Phone: (616) 364-6700

    Fax: (989) 401-4245

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: LEICA MICROSYSTEMS INC. ($72).

Total Amount

$94

General + Research + Ownership

Payments

2

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

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: 2014-05-01

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
I20140501000418IDiagnostic RadiologyMITBD

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
77063Screening 3d breast mammography544544$0
77067Screening mammography544544$0
71045X-ray of chest, 1 view122118$0
70450Ct scan head or brain without contrast8680$0
71046X-ray of chest, 2 views7676$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

JENNIFER ROLLENHAGEN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front318260
DIAGNOSTIC RADIOLOGYMI73110X-ray of wrist, minimum of 3 views2222
DIAGNOSTIC RADIOLOGYMI73562X-ray of knee, 3 views1515
DIAGNOSTIC RADIOLOGYMI74177CT scan of abdomen and pelvis with contrast111107

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: 0648171850View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyCO
Diagnostic RadiologyMI
Physician AssistantMI
Diagnostic RadiologyMI
Nurse PractitionerMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Nurse PractitionerLA

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Frequently asked questions

Does JENNIFER ROLLENHAGEN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNIFER ROLLENHAGEN (M.D.) uses 1386800175.
Is JENNIFER ROLLENHAGEN (M.D.) still practicing?
JENNIFER ROLLENHAGEN (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes JENNIFER ROLLENHAGEN (M.D.)?
For research purposes, treat JENNIFER ROLLENHAGEN (M.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JENNIFER ROLLENHAGEN (M.D.) list a practice location?
Patients near Grand Rapids, Michigan may find JENNIFER ROLLENHAGEN (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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