THERESA IRENE JENSEN – Gerontology Nurse Practitioner, NPI 1639569916

THERESA IRENE JENSEN is a healthcare provider. based in Grand blanc, Michigan. specializing in Gerontology Nurse Practitioner. They hold a License No. 4704270666 (MI). The NPI Number for THERESA IRENE JENSEN is 1639569916

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
THERESA IRENE JENSEN
NPI
1639569916
Phone
(810) 953-8700
Address
8200 S SAGINAW ST STE 500
Enumeration Date
26 January 2015
Last Update Date
28 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898600088
Graduation Year
2014 (12 years ago)
PAC ID
5496075939
Group Practice PAC ID
4486949807
Professional Enrollment ID
I20150522001359
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for THERESA IRENE JENSEN

  • 8200 S SAGINAW ST STE 500

    GRAND BLANC, MI 484392451

    Phone: (810) 953-8700

    Fax: (810) 953-8704

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $1,698.

Total Amount is formed as General ($1,698) + Research ($0) + Ownership ($0) = $1,698.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($601).

Total Amount

$1,698

General + Research + Ownership

Payments

89

Total payment records

General Amount

$1,698

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2015-05-22

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
I20150522001359INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9237$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7138$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 4486949807View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What federal number belongs to THERESA IRENE JENSEN?
The federal identifier for THERESA IRENE JENSEN is NPI 1639569916.
Is THERESA IRENE JENSEN currently active in the NPI registry?
CMS-published data lists THERESA IRENE JENSEN as an active registrant.
What kind of provider is THERESA IRENE JENSEN?
The page reflects Gerontology Nurse Practitioner for THERESA IRENE JENSEN. Clinical services aligned with this taxonomy classification.
What location metadata exists for THERESA IRENE JENSEN?
The page summarizes Grand Blanc, Michigan for THERESA IRENE JENSEN; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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