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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: August 09, 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
Phone(269) 341-6386
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
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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

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.

DR. AMANDA KEATING WALKER D.O.
Obstetrics & Gynecology
601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7979
ANDREW W. WALKER MD
Emergency Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (847) 404-6853
JUSTINE MELODIE OUDSEMA PA-C
Physician Assistant
601 JOHN ST, BOX 74
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8481
OCHUKO ANDREW OGHOR CRNA
Nurse Anesthetist, Certified Registered
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (239) 341-7654
MARK J TIESZEN MD
Internal Medicine (Critical Care Medicine)
601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7762
DR. ERIC S SHAY M.D.
Internal Medicine
601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007
Kalamazoo County (269) 381-5060
EVGENIIA MORLEY RD
Dietitian, Registered
601 JOHN ST
KALAMAROO, MI 49007
Kalamazoo County (269) 341-6615
SELECT HOSPITALISTS, PLLC
Internal Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7100

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 Jacob Bennick's NPI number?

The NPI number for Jacob Bennick is 1083353080. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Jacob Bennick located?

Jacob Bennick practices at 601 John St, Kalamazoo, MI 49007. The listed phone number is (269) 341-6386.

What is Jacob Bennick's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Bennick enrolled in Medicare?

Yes. Jacob Bennick 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 Jacob Bennick affiliated with any hospitals?

According to CMS data, Jacob Bennick is affiliated with Bronson Methodist Hospital, Bronson Battle Creek Hospital, Bronson South Haven Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Bennick was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.