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DR. JEFFREY DALE KENYON M.D.
NPI 1790124725
Emergency Medicine in Lansing, MI

Active since June 24, 2013PECOS Enrolled
1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-1000 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeffrey Dale Kenyon M.d. NPPES

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

DR. JEFFREY DALE KENYON M.D. (NPI 1790124725) is an individual emergency medicine provider in Lansing, Michigan, licensed in Arizona (64579) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790124725
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JEFFREY DALE KENYONCredential: M.D.
Location Address1215 E MICHIGAN AVELansing, MI 48912-1811
Mailing Address1215 E Michigan AveLansing, MI 48912-1811 · (517) 364-1000
Phone(517) 364-1000
Sole ProprietorNo
Enumeration DateJune 24, 2013
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1790124725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 64579✔ Licensed in MI · 4301103184
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1215 E MICHIGAN AVE, Lansing, MI 48912
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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)

Dr. Jeffrey Dale Kenyon M.d. 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 Jeffrey Kenyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Department Physicians, P.C.
85 mi
Emergency Medicine
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Emergency Department Physicians PC
  • 237 clinicians in this Medicare group
NPI 1225083595 (313) 343-4000

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 48912 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 20

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

DANIEL FRANCIS BOUCHARD D.O.
Family Medicine
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912
Ingham County (231) 955-3360
DR. JESSICA FROST MD
Obstetrics & Gynecology
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5610
MR. GARRETT SMIGELSKI PA-C
Physician Assistant
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-3380
DR. AMY RENEE DRABANT DO
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
DR. EVAN DAVID TYSON BRUCE MD
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
JANA HAIDAR AHMAD MD
Family Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5710
MR. ANDREW SIDNEY COOPER CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789
MS. KARI LYN FORRO CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789

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 Jeffrey Kenyon's NPI number?

The NPI number for Jeffrey Kenyon is 1790124725. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Jeffrey Kenyon located?

Jeffrey Kenyon practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-1000.

What is Jeffrey Kenyon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeffrey Kenyon enrolled in Medicare?

Yes. Jeffrey Kenyon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Kenyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Kenyon reassigns Medicare benefits to Emergency Department Physicians, P.C. (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Kenyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Kenyon was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.