JENNIFER LYNNE DYKSTRA FNP-C
NPI 1497700868
Nurse Practitioner - Family in Ada, MI

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
7128 FULTON ST E, ADA, MI 49301(616) 825-3530 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Lynne Dykstra Fnp-c NPPES

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

JENNIFER LYNNE DYKSTRA FNP-C (NPI 1497700868) is an individual family provider in Ada, Michigan, licensed in Michigan (4704222326) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Pennock Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1497700868
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LYNNE DYKSTRACredential: FNP-C
Location Address7128 FULTON ST EAda, MI 49301-8413
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 24, 2006
Last NPPES UpdateOctober 7, 2022
NPPES CertifiedOctober 7, 2022
✔ NPI 1497700868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704222326
7128 FULTON ST E, Ada, MI 49301

Accepted 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

Jennifer Lynne Dykstra Fnp-c 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 ID7315942588
PECOS Enrollment IDI20060921000217
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 Jennifer Dykstra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
4100 LAKE DR SE, SUITE 102
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
Rural Health
107 N BRIDGE ST
Saranac, MI 48881
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1487348769 (Michigan)
  • 16 clinicians in this Medicare group
Rural Health
1202 W OAK ST
Greenville, MI 48838
  • Reassigned Medicare billing, Michigan enrollment
  • 242 clinicians in this Medicare group
Family Medicine
1009 W GREEN ST
Hastings, MI 49058
  • Reassigned Medicare billing, Michigan enrollment
  • 184 clinicians in this Medicare group

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.

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49301 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 17

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

Physician Assistant
7128 FULTON ST E
ADA, MI 49301
Internal Medicine
7128 FULTON ST E
ADA, MI 49301
Nurse Practitioner
7128 FULTON ST E
ADA, MI 49301
Social Worker (Clinical)
7128 FULTON ST E
ADA, MI 49301
Pediatrics
7128 FULTON ST E
ADA, MI 49301
Family Medicine
7128 FULTON ST E
ADA, MI 49301
Family Medicine
7128 FULTON ST E
ADA, MI 49301
Social Worker (Clinical)
7128 FULTON ST E
ADA, MI 49301

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 Jennifer Dykstra's NPI number?

The NPI number for Jennifer Dykstra is 1497700868. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Jennifer Dykstra located?

Jennifer Dykstra practices at 7128 Fulton St E, Ada, MI 49301. The listed phone number is (616) 825-3530.

What is Jennifer Dykstra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Dykstra enrolled in Medicare?

Yes. Jennifer Dykstra 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 Jennifer Dykstra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Dykstra reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Sparrow Ionia Hospital (Saranac, MI), Spectrum Health United (Greenville, MI) and Pennock Hospital (Hastings, 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 Jennifer Dykstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Dykstra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Jennifer Dykstra 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 Jennifer Dykstra affiliated with any hospitals?

According to CMS data, Jennifer Dykstra is affiliated with Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Dykstra was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.