MRS. JENNIFER J. KOETJE (PA) – Medical Physician Assistant, NPI 1912908997
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. JENNIFER J. KOETJE (PA)
PO BOX 1848
MUSKEGON, MI 494431848
Phone: (231) 727-5211
Fax: (231) 727-4571
Type: Mailing
116 W COLBY ST STE D
WHITEHALL, MI 494611084
Phone: (231) 292-1240
Fax: (231) 292-1088
Type: Mailing
905, East Colby Street, Whitehall, Muskegon County, Michigan, 49461, United States
WHITEHALL, MI 494611262
Phone: (231) 728-5910
Fax: (231) 728-5918
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $693.
Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($264).
Total Amount
$693
General + Research + Ownership
Payments
28
Total payment records
General Amount
$693
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
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: 2007-03-06
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 |
|---|---|---|---|---|
| I20070306000286 | 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 49443)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI |
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