MICHELLE ALYCE JAHNKE (MD) – Dermatology Physician, NPI 1689646721

MICHELLE ALYCE JAHNKE (MD) is a healthcare provider. based in Ravenna, Ohio. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 35-07-3098J (OH). The NPI Number for MICHELLE ALYCE JAHNKE (MD) is 1689646721

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE ALYCE JAHNKE (MD)
NPI
1689646721
Phone
(330) 296-2879
Address
6693 N CHESTNUT ST STE 125A
Enumeration Date
3 February 2006
Last Update Date
22 October 2008

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
3302962879
Graduation Year
1996 (30 years ago)
PAC ID
3375508567
Group Practice PAC ID
4587629779
Professional Enrollment ID
I20041130000471
Address ID
OH442663900RA6693XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

607 DERMATOLOGY in OH

Provider Addresses for MICHELLE ALYCE JAHNKE (MD)

  • 6693 N CHESTNUT ST STE 125A

    RAVENNA, OH 442663900

    Phone: (330) 296-2879

    Mailing address matches the actual address.

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 $251.

Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($164).

Total Amount

$251

General + Research + Ownership

Payments

12

Total payment records

General Amount

$251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2004-11-30

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
I20041130000471IDermatologyOHTBD

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
17003Destruction of precancer skin growth, 2-14 growths957224$0
99213Established patient office or other outpatient visit, 20-29 minutes627546$0
17000Destruction of precancer skin growth, 1 growth430356$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg33937$0
11102Biopsy of related skin growth, first growth292243$0
View full utilization report →

Insurance plans in this area (ZIP 44266)

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Provider's Procedures

MICHELLE ALYCE JAHNKE (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYOH17003Destruction of 2-14 skin growths1446293

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: 4587629779View full group profile
NameSpecialtyState
Family PracticeOH

Reviews

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Frequently asked questions

What is the standard ID for MICHELLE ALYCE JAHNKE (MD) in the U.S.?
In the U.S., MICHELLE ALYCE JAHNKE (MD) is identified by NPI 1689646721.
Quick check: is MICHELLE ALYCE JAHNKE (MD) active?
Public NPPES data shows MICHELLE ALYCE JAHNKE (MD) with an active NPI status right now.
What services align with MICHELLE ALYCE JAHNKE (MD)'s listing?
MICHELLE ALYCE JAHNKE (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is MICHELLE ALYCE JAHNKE (MD) tied to Ravenna, Ohio?
If you are local to Ravenna, Ohio, MICHELLE ALYCE JAHNKE (MD) may be relevant to your search.
Who maintains MICHELLE ALYCE JAHNKE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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