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JACKSON THENNIS DO
NPI 1821926023
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Active since May 11, 2026PECOS Enrolled
1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4600 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Thennis Do NPPES

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

JACKSON THENNIS DO (NPI 1821926023) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (5151017794) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821926023
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON THENNISCredential: DO
Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282
Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282
Phone(269) 337-4600
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1821926023 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
License✔ Licensed in MI · 5151017794
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.
1000 OAKLAND DR, Kalamazoo, MI 49008
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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)

Jackson Thennis Do 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.

ANDREW MATTINGLY MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
SAJA ABDELHADI
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
SARAH ANNE ECENBARGER WARREN MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
DR. MICHELLE TERESA WICIAK MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
MARTIN B DRAZNIN M.D.
Pediatrics (Pediatric Endocrinology)
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6430
ABIGAIL MUNRO BOND DO
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6600
ALEX JOHN VANWOERKOM DO
Emergency Medicine
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
DR. KELLY ANN MING MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DR
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4400

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 Jackson Thennis's NPI number?

The NPI number for Jackson Thennis is 1821926023. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Jackson Thennis located?

Jackson Thennis practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-4600.

What is Jackson Thennis's specialty?

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

Is Jackson Thennis enrolled in Medicare?

Yes. Jackson Thennis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Thennis was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.