JENNIFER LYNN DATZKO NP
NPI 1568005569
Nurse Practitioner in Bay City, MI

Q: What is Jennifer Datzko's NPI number?

The NPI number for Jennifer Datzko is 1568005569. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Q: What is Jennifer Datzko'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 Jennifer Datzko was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 22, 2019PECOS EnrolledAccepts Medicare Assignment

1484 STRAITS DR STE 5, BAY CITY, MI 48706(989) 667-8740(989) 667-8745 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2024, Sep 13, 2022, Oct 22, 2019 (3 updates tracked since 2019).

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About Jennifer Lynn Datzko Np NPPES

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

JENNIFER LYNN DATZKO NP (NPI 1568005569) is an individual nurse practitioner in Bay City, Michigan, licensed in Michigan (4704233200) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568005569

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER LYNN DATZKOCredential: NP

Location Address1484 STRAITS DR STE 5Bay City, MI 48706-8718

Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 434-6169 · Fax (855) 618-6655

Phone(989) 667-8740

Fax(989) 667-8745

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 22, 2019

Last NPPES UpdateApril 30, 20243 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1568005569 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 · 4704233200

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.

1484 STRAITS DR STE 5, Bay City, MI 48706

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Secondary Practice Locations 2

Location 1125 N Washington StPrescott, MI 48756-5117 · Phone (989) 873-3352

Location 23355 Eagle Park Dr NE Ste 103Grand Rapids, MI 49525-7004 · Phone (616) 942-7400 · Fax (616) 942-7405

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 Lynn Datzko 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 ID3870825326

PECOS Enrollment IDI20191101001381

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

Medicare enrollment records show Jennifer Datzko reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prescott Clinic P.C.

41 mi

Family Medicine

125 N WASHINGTON ST
Prescott, MI 48756

Reassigned Medicare billing, Michigan enrollment
4 clinicians in this Medicare group

NPI 1295248508 (989) 873-3352

Iah Of Michigan, PLLC

83 mi

Family Medicine

500 KIRTS BLVD, STE. 200
Troy, MI 48084

Reassigned Medicare billing, Michigan enrollment
79 clinicians in this Medicare group

NPI 1578969705 (248) 824-6060

Vpa PC

83 mi

Family Medicine

500 KIRTS BLVD, SUITE 200
Troy, MI 48084

Reassigned Medicare billing, Michigan, Ohio and Virginia enrollments
Also billed through NPI 1558917443 (Ohio), NPI 1992392724 (Virginia)
279 clinicians in this Medicare group

NPI 1336153295 (800) 759-7291

Iah Of Wisconsin, PLLC

210 mi

Family Medicine

13555 BISHOPS CT STE 315
Brookfield, WI 53005

Reassigned Medicare billing, Wisconsin enrollment
22 clinicians in this Medicare group

NPI 1861898090 (248) 824-6000

Harmony Medical Services Of New Jersey LLC

536 mi

Family Medicine

28 VALLEY RD # 148
Montclair, NJ 07042

Reassigned Medicare billing, New Jersey enrollment
64 clinicians in this Medicare group

NPI 1649873183 (973) 707-3911

Harmony Medical Services Of New York, PLLC

556 mi

Family Medicine

1802 PETRACCA PL STE 103
Whitestone, NY 11357

Reassigned Medicare billing, New York enrollment
74 clinicians in this Medicare group

NPI 1669178448 (833) 979-7192

Rmed LLC

929 mi

Family Medicine

4348 SOUTHPOINT BLVD STE 100
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
288 clinicians in this Medicare group

NPI 1205476793 (904) 281-1915

Iah Of Florida, LLC

930 mi

Family Medicine

5011 GATE PARKWAY BLD 100 STE 350
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
34 clinicians in this Medicare group

NPI 1750787982 (904) 281-1915

Iah Of Texas, PLLC

1,019 mi

Family Medicine

4545 FULLER DR, STE. 325
Irving, TX 75038

Reassigned Medicare billing, Texas enrollment
40 clinicians in this Medicare group

NPI 1487051231 (972) 870-5511

Vpa Of Texas PLLC

1,019 mi

Family Medicine

4545 FULLER DRIVE, SUITE 325
Irving, TX 75038

Reassigned Medicare billing, Texas enrollment
802 clinicians in this Medicare group

NPI 1679510499 (972) 870-5511

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 11

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

499 services250 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

419 services241 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

66 services57 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

60 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

53 services53 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

42 services42 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

32 services11 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

28 services28 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

26 services17 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

14 services14 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230020

Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County

Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490120

Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48706 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers37 claims37 services$913.06 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers17 claims17 services$6.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers56 claims56 services$105.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

MARVIN R KEELING M.D.

Internal Medicine