JENNIFER LYNNE FORD (NP) – Family Nurse Practitioner, NPI 1770250714

JENNIFER LYNNE FORD (NP) is a healthcare provider. based in Holt, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704226493 (MI). The NPI Number for JENNIFER LYNNE FORD (NP) is 1770250714

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNNE FORD (NP)
NPI
1770250714
Phone
(517) 214-3993
Address
2530 GLEN CV
Enumeration Date
26 August 2021
Last Update Date
8 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173645440
Graduation Year
2021 (5 years ago)
PAC ID
7618355611
Group Practice PAC ID
8628404936
Professional Enrollment ID
I20220603000387
Address ID
MI489121897LA1200XAVEX405
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JENNIFER LYNNE FORD (NP)

  • 2530 GLEN CV

    HOLT, MI 488429426

    Phone: (517) 214-3993

    Type: Mailing

  • 804 SERVICE RD STE A202

    EAST LANSING, MI 488247015

    Phone: (517) 353-9385

    Fax: (517) 353-9421

    Type: Mailing

  • 1200 E MICHIGAN AVE STE 145

    LANSING, MI 489121897

    Phone: (517) 353-9385

    Fax: (517) 353-9421

    Type: Location

  • 850 W Baraga Ave

    Marquette, MI 498554550

    Phone: (906) 225-3141

    Fax: (906) 449-1815

    Type: Location

  • 3409 Ludington St Ste 103

    Escanaba, MI 498294213

    Phone: (906) 786-5707

    Fax: (906) 786-4004

    Type: Location

  • 710 Kenmoor Ave SE Ste 200

    Grand Rapids, MI 495462379

    Phone: (616) 954-5554

    Fax: (616) 451-9120

    Type: Location

  • 500 Campus Dr

    Hancock, MI 499301452

    Phone: (906) 483-1000

    Fax: (906) 483-1521

    Type: Location

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 $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: GENZYME CORPORATION ($119).

Total Amount

$199

General + Research + Ownership

Payments

2

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

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: 2022-06-03

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
I20220603000387INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48842)

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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: 8628404936View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
Family PracticeMI
Osteopathic Manipulative MedicineMI
-MI
Physical Medicine And Rehabilitation, Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
-MI
Internal MedicineMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER LYNNE FORD (NP) for billing?
Administrative and clinical systems typically use NPI 1770250714 for JENNIFER LYNNE FORD (NP).
Is JENNIFER LYNNE FORD (NP)'s NPI status active today?
Active status means JENNIFER LYNNE FORD (NP)'s NPI record is not deactivated in the public file.
What services align with JENNIFER LYNNE FORD (NP)'s listing?
JENNIFER LYNNE FORD (NP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER LYNNE FORD (NP) in Holt, Michigan?
For routing, start with Holt, Michigan for JENNIFER LYNNE FORD (NP), then verify phone and hours locally.
Can I export JENNIFER LYNNE FORD (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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