JACOB BENNICK DO
NPI 1083353080
Emergency Medicine in Kalamazoo, MI

Active since May 31, 2022PECOS EnrolledAccepts Medicare Assignment
601 JOHN ST, KALAMAZOO, MI 49007(269) 341-6386 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Bennick Do NPPES

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

JACOB BENNICK DO (NPI 1083353080) is an individual emergency medicine provider in Kalamazoo, Michigan, licensed in Michigan (5101027955) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2022).

NPPES Registry Identity

NPI1083353080
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACOB BENNICKCredential: DO
Location Address601 JOHN STKalamazoo, MI 49007-5341
Mailing Address950 Trade Centre Way Ste 230Portage, MI 49002-0492
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2022
Enumeration DateMay 31, 2022
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
NPI 1083353080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 5101027955
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5151015760 (MI), 5101027955 (MI)
601 JOHN ST, Kalamazoo, MI 49007

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

Jacob Bennick Do 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 ID4789065772
PECOS Enrollment IDI20250128002470
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 4

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49007 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Obstetrics & Gynecology
601 JOHN ST, SUITE M318
KALAMAZOO, MI 49007
Nurse Practitioner (Women's Health)
601 JOHN ST, SUITE M318
KALAMAZOO, MI 49007
Obstetrics & Gynecology
601 JOHN ST, SUITE N-1100
KALAMAZOO, MI 49007
Obstetrics & Gynecology
601 JOHN ST, SUITE N-1100
KALAMAZOO, MI 49007
Pathology (Anatomic Pathology & Clinical Pathology)
601 JOHN ST
KALAMAZOO, MI 49007
Internal Medicine (Gastroenterology)
601 JOHN ST, M 475
KALAMAZOO, MI 49007
Advanced Practice Midwife
601 JOHN ST, SUITE N1200 - BRONSON WOMEN'S SERVICES
KALAMAZOO, MI 49007
Neurological Surgery
601 JOHN ST, SUITE M124
KALAMAZOO, MI 49007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083353080, enumerated as an "individual" on May 31, 2022.

The provider is located at 601 JOHN ST KALAMAZOO, MI 49007 and the phone number is (269) 341-6386.

Emergency Medicine with taxonomy code 207P00000X.

Jacob Bennick is affiliated with: BRONSON METHODIST HOSPITAL, BRONSON BATTLE CREEK HOSPITAL, BRONSON SOUTH HAVEN HOSPITAL and BRONSON LAKEVIEW HOSPITAL.