GARRETT LYNN JENSEN MD, PHD
NPI 1730982042
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Garrett Jensen's NPI number?

The NPI number for Garrett Jensen is 1730982042. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Garrett Jensen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Garrett Jensen was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 31, 2025PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Garrett Lynn Jensen Md, Phd NPPES

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

GARRETT LYNN JENSEN MD, PHD (NPI 1730982042) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730982042

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGARRETT LYNN JENSENCredential: MD, PHD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753

Phone(517) 205-4800

Sole ProprietorNo

Enumeration DateMarch 31, 2025

NPPES CertifiedMarch 31, 2025

✔ NPI 1730982042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garrett Lynn Jensen Md, Phd 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.

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.

SAMANTHA RENE DANEK PA-C

Physician Assistant