Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNA PEPPER NP
NPI 1417865429
Nurse Practitioner in Troy, MI

Q: What is Jenna Pepper's NPI number?

The NPI number for Jenna Pepper is 1417865429. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Q: What is Jenna Pepper's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jenna Pepper was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.

Active since August 31, 2026PECOS Enrolled

4060 ROCHESTER RD, TROY, MI 48085(248) 250-6420 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Jenna Pepper Np NPPES

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

JENNA PEPPER NP (NPI 1417865429) is an individual nurse practitioner in Troy, Michigan, licensed in Michigan (4704362215) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417865429

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNA PEPPERCredential: NP

Location Address4060 ROCHESTER RDTroy, MI 48085-4923

Mailing Address14671 Telegraph RdRedford, MI 48239-3300

Phone(248) 250-6420

Sole ProprietorNo

Enumeration DateAugust 31, 2026

NPPES CertifiedAugust 31, 2026

✔ NPI 1417865429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704362215

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.

4060 ROCHESTER RD, Troy, MI 48085

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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 Pepper Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 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 8

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

MS. MELISSA ANNE SCHUURMAN FNP-C

Nurse Practitioner (Primary Care)