KATIE ROSE JENNINGS PA-C
NPI 1609652510
Physician Assistant in Portage, MI

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment
3000 OLD CENTRE RD, PORTAGE, MI 49024(269) 321-7546(269) 321-1705 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, Apr 20, 2026, Aug 2, 2024 and 3 more (6 updates tracked since 2023).

About Katie Rose Jennings Pa-c NPPES

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

KATIE ROSE JENNINGS PA-C (NPI 1609652510) is an individual physician assistant in Portage, Michigan, licensed in Michigan (5601011951) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1609652510
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE ROSE JENNINGSCredential: PA-C
Location Address3000 OLD CENTRE RDPortage, MI 49024-4883
Mailing Address7760 Ts Ave EScotts, MI 49088-9748 · (248) 762-9534
Fax(269) 321-1705
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 6, 2023
Last NPPES UpdateJune 3, 20266 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1609652510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601011951
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5601011951 (MI)
3000 OLD CENTRE RD, Portage, MI 49024

Secondary Practice Locations 5

Location 1551 Linn StAllegan, MI 49010-1595 · Phone (269) 321-7546 · Fax (269) 321-1705
Location 2400 Medical Park DrWatervliet, MI 49098-9225 · Phone (269) 463-3600
Location 3711 S Health PkwyThree Rivers, MI 49093-9387 · Phone (269) 321-7546 · Fax (269) 321-1705
Location 4451 Health Pkwy Ste APaw Paw, MI 49079-8242 · Phone (269) 321-7546 · Fax (269) 321-1705
Location 53950 Hollywood Rd Ste 100Saint Joseph, MI 49085-9151 · Phone (269) 408-1625

Accepted 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

Katie Rose Jennings Pa-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 ID5294180873
PECOS Enrollment IDI20231017003094
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.

Areas of Expertise CMS Part B claims 5

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
65 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients
Repair of connective tissue defect of leg 27656
Repair of a connective tissue defect in the leg involves a surgical procedure to mend damaged or torn tissues. This could be due to injury or disease. The procedure helps restore function and reduce pain in the affected leg, aiding in improved mobility.
11 services11 patients
Lengthening of calf muscle 27687
Lengthening of the calf muscle is a procedure aimed at increasing flexibility and improving motion in the foot and ankle. This surgical process involves making a small incision to release the tight muscle or tendon, aiding in better mobility.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Dermatology
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Dermatology (MOHS-Micrographic Surgery)
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024

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 Katie Jennings's NPI number?

The NPI number for Katie Jennings is 1609652510. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Katie Jennings located?

Katie Jennings practices at 3000 Old Centre Rd, Portage, MI 49024. The listed phone number is (269) 321-7546.

What is Katie Jennings's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Jennings enrolled in Medicare?

Yes. Katie Jennings 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 Katie Jennings accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Katie Jennings 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 Katie Jennings affiliated with any hospitals?

According to CMS data, Katie Jennings is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Katie Jennings was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.