JONATHAN RYAN MENNECKE DO
NPI 1154124741
Student in an Organized Health Care Education/Training Program in Saint Joseph, MI
About Jonathan Ryan Mennecke Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN RYAN MENNECKE DO (NPI 1154124741) is an individual student in an organized health care education/training program in Saint Joseph, Michigan and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Ryan Mennecke Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAINT JOSEPH, MI 49085
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 Jonathan Mennecke's NPI number?
The NPI number for Jonathan Mennecke is 1154124741. It was assigned to this individual provider in the NPPES registry on March 29, 2025.
Where is Jonathan Mennecke located?
Jonathan Mennecke practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-4941.
What is Jonathan Mennecke's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jonathan Mennecke enrolled in Medicare?
Yes. Jonathan Mennecke is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jonathan Mennecke was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jonathan Ryan Mennecke, DO · NPI 1154124741
Student in an Organized Health Care Education/Training Program provider in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since March 29, 2025.
## Identity
- **NPI:** 1154124741 (Entity type: Individual)
- **Enumerated:** March 29, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1234 NAPIER AVE, Saint Joseph, MI 49085-2112
- **Phone:** (269) 982-4941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154124741) · Data from the CMS NPPES public registry.