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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JEFFREY RAYNER LAPENNAS NP
NPI 1265114227
Nurse Practitioner in Detroit, MI

Active since August 01, 2023PECOS EnrolledAccepts Medicare Assignment
19100 W 7 MILE RD, DETROIT, MI 48219(313) 533-5002 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jeffrey Rayner Lapennas Np NPPES

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

MR. JEFFREY RAYNER LAPENNAS NP (NPI 1265114227) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704394815) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kettering, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265114227
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JEFFREY RAYNER LAPENNASCredential: NP
Location Address19100 W 7 MILE RDDetroit, MI 48219-2758
Mailing Address1050 Forrer Blvd Ste 250Kettering, OH 45420-3640 · (800) 986-4801 · Fax (937) 684-9990
Phone(313) 533-5002
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 1, 2023
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1265114227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MI · 4704394815✔ Licensed in OH · APRN.CNP.0039414
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
19100 W 7 MILE RD, Detroit, MI 48219
Open in Google Maps ↗

Secondary Practice Location 1

Location 11050 Forrer Blvd Ste 250Kettering, OH 45420-3640 · Phone (800) 986-4801 · Fax (937) 684-9990

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

Mr. Jeffrey Rayner Lapennas Np 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 ID244694578
PECOS Enrollment IDI20250918002146
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

4

Medicare enrollment records show Jeffrey Lapennas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical
23 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Illumia Health LLC
64 mi
Hospice and Palliative Medicine
1718 INDIAN WOOD CIR STE A1
Maumee, OH 43537
  • Reassigned Medicare billing, Ohio enrollment
  • 44 clinicians in this Medicare group
NPI 1801693866 (704) 664-2876
Ih Physician Services PC
103 mi
Hospice and Palliative Medicine
1320 WALDO AVE STE 300
Midland, MI 48642
  • Reassigned Medicare billing, Michigan enrollment
  • 25 clinicians in this Medicare group
NPI 1437960101 (989) 667-3440
Exceptional Care Services LLC
312 mi
Primary Care
1050 CHINOE RD STE 350
Lexington, KY 40502
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group
NPI 1245900794 (859) 255-0075

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
129 services41 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
83 services30 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
80 services25 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
28 services19 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48219 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

KELLY POWELL OLIVERIO PA-C
Physician Assistant
19100 W 7 MILE RD
DETROIT, MI 48219
Wayne County (248) 660-1220
MS. TERESA ANN FAIRGOOD COTA
Occupational Therapy Assistant
19100 W 7 MILE RD
DETROIT, MI 48219
Wayne County (313) 532-3723
MR. FREDERICK LAMONTE WATSON COTA
Occupational Therapy Assistant
19100 W 7 MILE RD
DETROIT, MI 48219
Wayne County (313) 533-5002
GEROLYN TORRES GELIDO PT
Physical Therapist
19100 W 7 MILE RD
DETROIT, MI 48219
Wayne County (313) 533-5002
ABBA CARE CORPORATION
Skilled Nursing Facility
19100 W 7 MILE RD
DETROIT, MI 48219
Wayne County (313) 533-5002

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 Jeffrey Lapennas's NPI number?

The NPI number for Jeffrey Lapennas is 1265114227. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Jeffrey Lapennas located?

Jeffrey Lapennas practices at 19100 W 7 Mile Rd, Detroit, MI 48219. The listed phone number is (313) 533-5002.

What is Jeffrey Lapennas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeffrey Lapennas enrolled in Medicare?

Yes. Jeffrey Lapennas 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 Jeffrey Lapennas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Lapennas reassigns Medicare benefits to 4 organizations: Theoria Medical (Novi, MI), Illumia Health LLC (Maumee, OH), Ih Physician Services PC (Midland, MI) and Exceptional Care Services LLC (Lexington, KY). 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 Jeffrey Lapennas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Lapennas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Priority Health list Jeffrey Lapennas 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 Jeffrey Lapennas was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.