MRS. JENNIFER LYNN NOBERT (PA-C) – Physician Assistant, NPI 1689820169

MRS. JENNIFER LYNN NOBERT (PA-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005301 (MI). The NPI Number for MRS. JENNIFER LYNN NOBERT (PA-C) is 1689820169

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER LYNN NOBERT (PA-C)
NPI
1689820169
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
15 August 2008
Last Update Date
20 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
0042388555
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20081010000582
Address ID
MI495463808GR5060XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MRS. JENNIFER LYNN NOBERT (PA-C)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 2332 ALPINE AVE NW

    GRAND RAPIDS, MI 495441955

    Phone: (616) 391-9536

    Type: Location

  • West Green Street, Hastings, Barry County, Michigan, 49058, United States

    HASTINGS INTERNAL MEDICINE

    HASTINGS, MI 49058

    Phone: (269) 948-0078

    Fax: (269) 948-0099

    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 $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2023-01-25 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($160).

Total Amount

$160

General + Research + Ownership

Payments

2

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-25

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: 2008-10-10

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
I20081010000582IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5632$0
99214Established patient office or other outpatient visit, 30-39 minutes3933$0
99213Established patient office or other outpatient visit, 20-29 minutes3331$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2420$0
99215Established patient office or other outpatient visit, 40-54 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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
General PracticeMI
Family PracticeMI
Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O L O G YNJ
N E U R O S U R G E R YIL
Internal MedicineMI

Reviews

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Frequently asked questions

What NPI should I save for MRS. JENNIFER LYNN NOBERT (PA-C)?
Save NPI 1689820169 if you need a stable reference for MRS. JENNIFER LYNN NOBERT (PA-C).
Is MRS. JENNIFER LYNN NOBERT (PA-C)'s NPI currently valid?
The extract we use shows MRS. JENNIFER LYNN NOBERT (PA-C) as active.
Can you summarize MRS. JENNIFER LYNN NOBERT (PA-C)'s specialty in plain language?
Clinically, the directory lists MRS. JENNIFER LYNN NOBERT (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. JENNIFER LYNN NOBERT (PA-C)?
The snapshot lists Grand Rapids, Michigan for MRS. JENNIFER LYNN NOBERT (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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