JENNIFER WEDGE CNP
NPI 1699894592
Nurse Practitioner in Detroit, MI

Q: What is Jennifer Wedge's NPI number?

The NPI number for Jennifer Wedge is 1699894592. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Jennifer Wedge'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 Wedge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 29, 2007PECOS Enrolled

4100 JOHN R ST, DETROIT, MI 48201(800) 527-6266(313) 966-0752 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jennifer Wedge Cnp NPPES

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

JENNIFER WEDGE CNP (NPI 1699894592) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704226381) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699894592

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER WEDGECredential: CNP

Location Address4100 JOHN R STDetroit, MI 48201-2013

Mailing Address3990 John R St # 10wnDetroit, MI 48201-2018 · (313) 576-8049

Phone(800) 527-6266

Fax(313) 966-0752

Sole ProprietorNo

Enumeration DateMarch 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1699894592 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 · 4704226381

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.

4100 JOHN R ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Wedge Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jennifer Wedge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Munson Healthcare Charlevoix Hospital

217 mi

Rural Health

223 N PARK ST
Boyne City, MI 49712

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

NPI 1255779484 (231) 582-5314

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

BARBARA ANN KARMANOS CANCER HOSPITAL

Pharmacy (Community/Retail Pharmacy)

4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201

Wayne County (313) 576-9350

BARBARA ANN KARMANOS CANCER CENTER

General Acute Care Hospital