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JENNIFER CHRISTINE MAXAM FENNER D.O.
NPI 1679542922
Pediatrics in Midland, MI

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
419 W. WACKERLY ST, MIDLAND, MI 48640(989) 631-9515(989) 835-6824 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jennifer Christine Maxam Fenner D.o. NPPES

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

JENNIFER CHRISTINE MAXAM FENNER D.O. (NPI 1679542922) is an individual pediatrics provider in Midland, Michigan, licensed in Michigan (JG013790) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1679542922
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER CHRISTINE MAXAM FENNERCredential: D.O.
Location Address419 W. WACKERLY STMidland, MI 48640
Mailing Address419 W. Wackerly StMidland, MI 48640 · (989) 631-9515 · Fax (989) 835-6824
Phone(989) 631-9515
Fax(989) 835-6824
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 17, 2006
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1679542922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · JG013790
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
419 W. WACKERLY ST, Midland, MI 48640
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Other Identifiers 1

Medicaid4287010MI

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, Priority Health.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

Jennifer Christine Maxam Fenner D.o. 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 ID4385604040
PECOS Enrollment IDI20220122000074
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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 3

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

FAMILY MEDICINE ASSOCIATES OF MIDLAND, P.C.
Pediatrics
419 W. WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 631-9515
BRITTANY REIBER PA-C
Physician Assistant
419 W. WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 631-9515
HUGO JUARBE M.D.
Pediatrics
419 W. WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 631-9515

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 Maxam Fenner's NPI number?

The NPI number for Jennifer Maxam Fenner is 1679542922. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Jennifer Maxam Fenner located?

Jennifer Maxam Fenner practices at 419 W. Wackerly St, Midland, MI 48640. The listed phone number is (989) 631-9515.

What is Jennifer Maxam Fenner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Maxam Fenner enrolled in Medicare?

Yes. Jennifer Maxam Fenner 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 Jennifer Maxam Fenner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jennifer Maxam Fenner 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.

When was this NPI record last updated?

The NPPES record for Jennifer Maxam Fenner was last updated on July 10, 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.