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JENNA PANNEBECKER PAC
NPI 1114799319
Physician Assistant in Center Line, MI

Active since October 23, 2023PECOS Enrolled
26672 VAN DYKE AVE, CENTER LINE, MI 48015(586) 756-7670(586) 228-9019 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenna Pannebecker Pac NPPES

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

JENNA PANNEBECKER PAC (NPI 1114799319) is an individual physician assistant in Center Line, Michigan and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton Township, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114799319
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA PANNEBECKERCredential: PAC
Location Address26672 VAN DYKE AVECenter Line, MI 48015-1222
Mailing Address43740 Garfield RdClinton Township, MI 48038-1122 · (586) 349-1154
Phone(586) 756-7670
Fax(586) 228-9019
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 23, 2023
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedDecember 22, 2023
✔ NPI 1114799319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
26672 VAN DYKE AVE, Center Line, MI 48015
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Secondary Practice Location 1

Location 143740 Garfield RdClinton Township, MI 48038-1122 · Phone (586) 349-1154 · Fax (586) 228-9019

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Pannebecker Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385092576
PECOS Enrollment IDI20231129000231
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48015 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 4

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

RONALD J MANTEUFFEL D.C.
Chiropractor
26672 VAN DYKE AVE
CENTER LINE, MI 48015
Macomb County (586) 716-8485
LAURENCE MANTEUFFEL D.C.
Chiropractor
26672 VAN DYKE AVE
CENTER LINE, MI 48015
Macomb County (586) 756-7670
MARK MANTEUFFEL D.C.
Chiropractor
26672 VAN DYKE AVE
CENTER LINE, MI 48015
Macomb County (586) 756-7670
MARK WROBEL D.C.
Chiropractor
26672 VAN DYKE AVE
CENTER LINE, MI 48015
Macomb County (586) 756-7670

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 Jenna Pannebecker's NPI number?

The NPI number for Jenna Pannebecker is 1114799319. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Jenna Pannebecker located?

Jenna Pannebecker practices at 26672 Van Dyke Ave, Center Line, MI 48015. The listed phone number is (586) 756-7670.

What is Jenna Pannebecker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jenna Pannebecker enrolled in Medicare?

Yes. Jenna Pannebecker is registered in the Medicare PECOS enrollment system.

What insurance does Jenna Pannebecker accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jenna Pannebecker 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 Jenna Pannebecker was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.