MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1477619518

MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) is a healthcare provider. based in Southgate, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 5601004092 (MI). The NPI Number for MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) is 1477619518

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT)
NPI
1477619518
Phone
(734) 225-6153
Address
15925 GODDARD RD APT 204
Enumeration Date
30 December 2006
Last Update Date
6 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139162600
Graduation Year
2003 (23 years ago)
PAC ID
2466769971
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20150916001296
Address ID
MI482022608DE2799XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT)

  • 15925 GODDARD RD APT 204

    SOUTHGATE, MI 481954500

    Phone: (734) 225-6153

    Type: Mailing

  • 6576, Chelsea Bridge, Chelsea Park, West Bloomfield Township, Oakland County, Michigan, 48322, United States

    WEST BLOOMFIELD, MI 483223072

    Phone: (313) 567-2224

    Type: Location

  • 34862 HAZELWOOD ST

    WESTLAND, MI 481864446

    Phone: (847) 863-6456

    Type: Mailing

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: 2015-09-16

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
I20150916001296IPhysician AssistantMITBD

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 48195)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT)'s NPI?
Yes. MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) is listed with NPI 1477619518 in the public NPI dataset.
Does CMS list MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) as active?
Yes — MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) is active in the NPI listing used on this page.
What is MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) best known for clinically?
Directory data describes MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) based?
MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) is tied to Southgate, Michigan in the data we show; additional addresses may exist on the full record.
Why does MISS JENNIFER MARIE PFEIFFER (PHYSICIAN ASSISTANT) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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