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SCOTT JENNER
NPI 1063361343
Nurse Practitioner in Eastpointe, MI

Active since January 28, 2026PECOS EnrolledAccepts Medicare Assignment
22745 KELLY RD, EASTPOINTE, MI 48021(586) 771-1000(586) 779-0058 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 12, 2026, Jan 28, 2026 (2 updates tracked since 2026).

About Scott Jenner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT JENNER (NPI 1063361343) is an individual nurse practitioner in Eastpointe, Michigan, licensed in Michigan (4704378952) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1063361343
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSCOTT JENNER
Location Address22745 KELLY RDEastpointe, MI 48021-2047
Mailing Address22745 Kelly RdEastpointe, MI 48021-2047
Phone(586) 771-1000
Fax(586) 779-0058
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 28, 2026
Last NPPES UpdateApril 12, 20262 updates tracked since enumeration
NPPES CertifiedApril 12, 2026
✔ NPI 1063361343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704378952
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
22745 KELLY RD, Eastpointe, MI 48021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Jenner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729562327
PECOS Enrollment IDI20260321000291
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISIS A HANNA MD
Internal Medicine
22745 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 771-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Jenner's NPI number?

The NPI number for Scott Jenner is 1063361343. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Where is Scott Jenner located?

Scott Jenner practices at 22745 Kelly Rd, Eastpointe, MI 48021. The listed phone number is (586) 771-1000.

What is Scott Jenner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Scott Jenner enrolled in Medicare?

Yes. Scott Jenner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Scott Jenner affiliated with any hospitals?

According to CMS data, Scott Jenner is affiliated with Beaumont Hospital - Grosse Pointe.

When was this NPI record last updated?

The NPPES record for Scott Jenner was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.