MRS. JOANNE LOIS JEPSEN ANP-BC
NPI 1063742518
Nurse Practitioner - Adult Health in Grand Rapids, MI
About Mrs. Joanne Lois Jepsen Anp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JOANNE LOIS JEPSEN ANP-BC (NPI 1063742518) is an individual adult health provider in Grand Rapids, Michigan, licensed in Michigan (4704177140) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Joanne Lois Jepsen Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Joanne Jepsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Joanne Jepsen's NPI number?
The NPI number for Joanne Jepsen is 1063742518. It was assigned to this individual provider in the NPPES registry on January 6, 2010.
Where is Joanne Jepsen located?
Joanne Jepsen practices at 2100 Raybrook Ave SE Suite 300, Grand Rapids, MI 49546. The listed phone number is (616) 340-9763.
What is Joanne Jepsen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Joanne Jepsen enrolled in Medicare?
Yes. Joanne Jepsen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Joanne Jepsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joanne Jepsen reassigns Medicare benefits to 2 organizations: Saint Mary's Health Services (Grand Rapids, MI) and Advantage Health Saint Mary's Medical Group (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joanne Jepsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joanne Jepsen accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Joanne Jepsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Joanne Jepsen was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Mrs. Joanne Lois Jepsen, ANP-BC · NPI 1063742518
Adult Health physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 6, 2010.
## Identity
- **NPI:** 1063742518 (Entity type: Individual)
- **Enumerated:** January 6, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 4704177140 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 RAYBROOK AVE SE, SUITE 300, Grand Rapids, MI 49546
- **Phone:** (616) 340-9763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Mary's Health Services (NPI 1063917425, Grand Rapids, MI); Advantage Health Saint Mary's Medical Group (NPI 1952340911, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2012
- **Other identifiers:** Medicaid 153161730 (MI); Medicare OSCAR/certification MI2492002 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1063742518) · Data from the CMS NPPES public registry.