JENNIFER B DYKHOUSE (PA) – Medical Physician Assistant, NPI 1881769321
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER B DYKHOUSE (PA)
510, South Fair Street, Otsego, Allegan County, Michigan, 49078, United States
OTSEGO, MI 490781402
Phone:
Type: Mailing
709 S Greenville West Dr
Greenville, MI 488383514
Phone: (616) 754-9146
Fax: (616) 754-9152
Type: Location
3210 Eagle Run Dr NE
Grand Rapids, MI 495257051
Phone: (616) 456-9553
Fax: (616) 454-5371
Type: Location
705, Greenville West Drive, Greenville, Montcalm County, Michigan, 48838, United States
SUITE 101
GREENVILLE, MI 488383556
Phone: (616) 754-9146
Fax: (616) 754-9152
Type: Location
743 E BELTLINE AVE NE
GRAND RAPIDS, MI 495256045
Phone: (616) 456-9553
Fax: (616) 454-5371
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 171 Open Payments records for all available years, with a total value of $2,899.
Total Amount is formed as General ($2,899) + Research ($0) + Ownership ($0) = $2,899.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($502).
Total Amount
$2,899
General + Research + Ownership
Payments
171
Total payment records
General Amount
$2,899
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-01-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070108000131 | I | Physician Assistant | MI | TBD |
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.
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 49078)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI |
Reviews
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