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DR. JESSICA ANN DEPETRO DO, MSC
NPI 1528636008
Psychiatry & Neurology - Psychiatry in Southfield, MI

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment
26091 BEAUMONT BLVD., D3-1708, SOUTHFIELD, MI 48033(947) 522-3088 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jessica Ann Depetro Do, Msc NPPES

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

DR. JESSICA ANN DEPETRO DO, MSC (NPI 1528636008) is an individual psychiatry provider in Southfield, Michigan, licensed in Michigan (5151014796APP21) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1528636008
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JESSICA ANN DEPETROCredential: DO, MSC
Location Address26091 BEAUMONT BLVD., D3-1708Southfield, MI 48033
Mailing Address26091 Beaumont Blvd., D3-1708Southfield, MI 48033 · (947) 522-3088
Phone(947) 522-3088
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2021
Enumeration DateJune 11, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1528636008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 5151014796APP21
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
26091 BEAUMONT BLVD., Southfield, MI 48033
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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, McLaren Health Plan Community and more.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. Jessica Ann Depetro Do, Msc 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 ID1658771183
PECOS Enrollment IDI20230907002123
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.

Hospital Affiliations CMS Care Compare

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48033 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Jessica Depetro's NPI number?

The NPI number for Jessica Depetro is 1528636008. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Jessica Depetro located?

Jessica Depetro practices at 26091 Beaumont Blvd. D3-1708, Southfield, MI 48033. The listed phone number is (947) 522-3088.

What is Jessica Depetro's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jessica Depetro enrolled in Medicare?

Yes. Jessica Depetro 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.

What insurance does Jessica Depetro accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Jessica Depetro 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 Jessica Depetro affiliated with any hospitals?

According to CMS data, Jessica Depetro is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Depetro was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.