JENNIFER PRYOR (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1649363714

JENNIFER PRYOR (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 4301507905 (MI). The NPI Number for JENNIFER PRYOR (MD) is 1649363714

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER PRYOR (MD)
NPI
1649363714
Phone
(269) 226-7000
Address
1521 GULL RD
Enumeration Date
2 October 2006
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
5742344176
Graduation Year
2005 (21 years ago)
PAC ID
3971761420
Group Practice PAC ID
5890237960
Professional Enrollment ID
I20240229002792
Address ID
IN466351779SO3355XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

Provider Addresses for JENNIFER PRYOR (MD)

  • 1521 GULL RD

    KALAMAZOO, MI 490481666

    Phone: (269) 226-7000

    Type: Location

  • 3007 SANDHILL RD

    MASON, MI 488549410

    Phone: (570) 995-1430

    Type: Mailing

  • East 3rd Street, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    WILLIAMSPORT, PA 177014004

    Phone: (570) 360-8900

    Type: Mailing

  • Lewisburg, Greenbrier County, West Virginia, 24901, United States

    LEWISBURG, PA 178379350

    Phone: (570) 360-8900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-03-22 • Largest payer in this snapshot: Adaptive Biotechnologies Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-22

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: 2024-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20120301000041IPathologyPATBD
I20220810002755IPathologyMITBD
I20240229002792IPathologyINTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity185118$0
88341Special stained specimen slides to examine tissue, each additional procedure8519$0
88307Pathology examination of tissue using a microscope, moderately high complexity5429$0
88360Microscopic genetic analysis of tumor, manual5219$0
88313Special stained specimen slides to examine tissue including interpretation and report4915$0
View full utilization report →

Insurance plans in this area (ZIP 49048)

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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: 5890237960View full group profile
NameSpecialtyState
P A T H O L O G YIN
P A T H O L O G YIN
P A T H O L O G YMI
P A T H O L O G YOH
P A T H O L O G YIN
P A T H O L O G YIN
P A T H O L O G YTX
P A T H O L O G YIN
P A T H O L O G YIN
P A T H O L O G YMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER PRYOR (MD)?
JENNIFER PRYOR (MD) — NPI 1649363714 — is the standard way to identify this listing.
Can I rely on JENNIFER PRYOR (MD) being an active provider?
As of the registry snapshot, JENNIFER PRYOR (MD) is marked active.
What taxonomy line describes JENNIFER PRYOR (MD)?
For research purposes, treat JENNIFER PRYOR (MD) as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JENNIFER PRYOR (MD) list a practice location?
Patients near Kalamazoo, Michigan may find JENNIFER PRYOR (MD) 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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