DR. JACOB THOMAS JOHENGEN DO
NPI 1154945558
Family Medicine in Milan, MI

Q: What is Jacob Johengen's NPI number?

The NPI number for Jacob Johengen is 1154945558. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Q: What is Jacob Johengen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Johengen was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment

870 E ARKONA RD STE 100, MILAN, MI 48160(734) 439-2429(734) 439-0200 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Jun 1, 2020 (2 updates tracked since 2020).

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About Dr. Jacob Thomas Johengen Do NPPES

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

DR. JACOB THOMAS JOHENGEN DO (NPI 1154945558) is an individual family medicine provider in Milan, Michigan, licensed in Michigan (5151014543) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1154945558

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACOB THOMAS JOHENGENCredential: DO

Location Address870 E ARKONA RD STE 100Milan, MI 48160-9770

Mailing Address24 Frank Lloyd Wright Dr # J2000Ann Arbor, MI 48105-9484 · (734) 747-6766 · Fax (734) 222-3100

Phone(734) 439-2429

Fax(734) 439-0200

Sole ProprietorYes

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020

Enumeration DateJune 1, 2020

Last NPPES UpdateJune 23, 20232 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1154945558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5151014543

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

870 E ARKONA RD STE 100, Milan, MI 48160

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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, Priority Health.Insurance ›

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

Dr. Jacob Thomas Johengen 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 ID2365863016

PECOS Enrollment IDI20230707001400

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

72 services46 patients

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.

44 services36 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services13 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230156

Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48160 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 5

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

KIMBERLY EDEN BERKE

Family Medicine