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DR. JACLYN ARIEL FRIEDMAN DENENFELD MD
NPI 1194068197
Obstetrics & Gynecology in Grand Rapids, MI

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
25 MICHIGAN ST NE STE 6200, GRAND RAPIDS, MI 49503(616) 391-3304 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2023, Apr 22, 2021, Jan 22, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Jaclyn Ariel Friedman Denenfeld Md NPPES

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

DR. JACLYN ARIEL FRIEDMAN DENENFELD MD (NPI 1194068197) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301503363) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of New York Medical College (2013).

NPPES Registry Identity

NPI1194068197
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JACLYN ARIEL FRIEDMAN DENENFELDCredential: MD
Location Address25 MICHIGAN ST NE STE 6200Grand Rapids, MI 49503-2577
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-3304
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2013
Enumeration DateMarch 28, 2013
Last NPPES UpdateAugust 15, 20236 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1194068197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301503363
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
25 MICHIGAN ST NE STE 6200, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Jaclyn Ariel Friedman Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jaclyn Ariel Friedman Denenfeld Md 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 ID3476825803
PECOS Enrollment IDI20201221000560
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jaclyn Denenfeld reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
Same address
Pediatric Endocrinology
35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1326599671 (616) 391-3933
Spectrum Health Hospitals
0.2 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

DR. HOPE HELENE BAUER MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3304
DR. NIMA M SHAH M.D.
Obstetrics & Gynecology
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3304
NICOLE ELIZABETH TIGHE PA-C
Physician Assistant
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3301
MS. SHEFALI SHARMA M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3304
JESSICA JANE LALLEY MD
Obstetrics & Gynecology
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3304
KAREN LYNN GANZEVOORT RNCNP
Nurse Practitioner (Women's Health)
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3304
HOLLY JEAN CROW P.A.-C
Physician Assistant
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3304
DR. DESLYN THEOLA GLORIA HOBSON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
25 MICHIGAN ST NE STE 6200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3304

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 Jaclyn Denenfeld's NPI number?

The NPI number for Jaclyn Denenfeld is 1194068197. It was assigned to this individual provider in the NPPES registry on March 28, 2013. The provider is also known as Dr. Jaclyn Ariel Friedman MD.

Where is Jaclyn Denenfeld located?

Jaclyn Denenfeld practices at 25 Michigan St NE Ste 6200, Grand Rapids, MI 49503. The listed phone number is (616) 391-3304.

What is Jaclyn Denenfeld's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jaclyn Denenfeld enrolled in Medicare?

Yes. Jaclyn Denenfeld 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.

Which organizations bill Medicare for Jaclyn Denenfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Denenfeld reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Spectrum Health Hospitals (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Denenfeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Denenfeld accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Jaclyn Denenfeld 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.

Is Jaclyn Denenfeld affiliated with any hospitals?

According to CMS data, Jaclyn Denenfeld is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Jaclyn Denenfeld was last updated on August 15, 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.