DR. JENNIFER LYNN PETRONELLA (DPM) – Podiatrist, NPI 1770712358

DR. JENNIFER LYNN PETRONELLA (DPM) is a healthcare provider. based in Commerce twp, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901002333 (MI). The NPI Number for DR. JENNIFER LYNN PETRONELLA (DPM) is 1770712358

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER LYNN PETRONELLA (DPM)
NPI
1770712358
Phone
(248) 360-3888
Address
9640 COMMERCE RD STE 102
Enumeration Date
5 July 2009
Last Update Date
17 June 2013

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
6166432500
Graduation Year
2009 (17 years ago)
PAC ID
6901062587
Group Practice PAC ID
2961836978
Professional Enrollment ID
I20120726000068
Address ID
MI495123877GR2589XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

753 PODIATRY in MI

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Provider Addresses for DR. JENNIFER LYNN PETRONELLA (DPM)

  • Commerce Road, West Bloomfield Township, Commerce Township, Oakland County, Michigan, 48382, United States

    COMMERCE TWP, MI 483824167

    Phone: (248) 360-3888

    Type: Mailing

  • Commerce Medical Center, 9640, Commerce Road, Commerce Township, Oakland County, Michigan, 48382, United States

    COMMERCE TOWNSHIP, MI 483824166

    Phone: (248) 360-3888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $329.

Total Amount is formed as General ($329) + Research ($0) + Ownership ($0) = $329.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($104).

Total Amount

$329

General + Research + Ownership

Payments

12

Total payment records

General Amount

$329

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2012-07-26

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
I20120726000068IPodiatryMITBD

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
11720Removal of fingernails or toenails, 1-5 nails393120$0
11721Removal of fingernails or toenails, 6 or more nails31398$0
99213Established patient office or other outpatient visit, 20-29 minutes11278$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
73630X-ray of foot, minimum of 3 views4734$0
View full utilization report →

Insurance plans in this area (ZIP 48382)

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Provider's Procedures

DR. JENNIFER LYNN PETRONELLA (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMI73630X-ray of foot, minimum of 3 views4639

Reviews

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Frequently asked questions

Is DR. JENNIFER LYNN PETRONELLA (DPM) listed with a National Provider Identifier?
Yes — DR. JENNIFER LYNN PETRONELLA (DPM) has NPI 1770712358 on file in the registry.
Active or inactive — what applies to DR. JENNIFER LYNN PETRONELLA (DPM)?
You should see DR. JENNIFER LYNN PETRONELLA (DPM) as active in CMS-hosted NPPES data.
How would a patient describe DR. JENNIFER LYNN PETRONELLA (DPM)'s focus?
For DR. JENNIFER LYNN PETRONELLA (DPM), the primary taxonomy reads as Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. JENNIFER LYNN PETRONELLA (DPM) associated with Commerce Twp?
Public fields place DR. JENNIFER LYNN PETRONELLA (DPM) around Commerce Twp, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. JENNIFER LYNN PETRONELLA (DPM)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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