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

JENELLE KALVODA NP
NPI 1548795800
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Q: What is Jenelle Kalvoda's NPI number?

The NPI number for Jenelle Kalvoda is 1548795800. It was assigned to this individual provider in the NPPES registry on April 25, 2017. The provider is also known as Jenelle Jodoin Rn.

Q: What is Jenelle Kalvoda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jenelle Kalvoda was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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 April 25, 2017PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 874-4806 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 21, 2026, Jul 21, 2026, Feb 24, 2025 and 2 more (5 updates tracked since 2017).

On this page

About Jenelle Kalvoda Np NPPES

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

JENELLE KALVODA NP (NPI 1548795800) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704259852) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1548795800

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENELLE KALVODACredential: NP

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address12851 Grand River RdBrighton, MI 48116-8506 · (877) 976-2371

Phone(313) 874-4806

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateApril 25, 2017

Last NPPES UpdateAugust 21, 20265 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1548795800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704259852

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704259852 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

Open in Google Maps ↗

Other Names 1

Former Name (1)Jenelle Jodoin Rn

Secondary Practice Location 1

Location 112851 Grand River RdBrighton, MI 48116-8506 · Phone (877) 976-2371

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, Oscar Insurance Company 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

Jenelle Kalvoda 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 ID7214206374

PECOS Enrollment IDI20190422000836

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 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230019

Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County

Emergency services Birthing friendly

Ascension Brighton Center For Recovery

Acute Care Hospitals · Brighton, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230279

Location12851 Grand River RdBrighton, MI 48116 · Livingston County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital