JENNA PUTMAN
NPI 1841541844
Dentist - General Practice in Ithaca, MI

Active since October 01, 2012Opted out of Medicare · through Nov 13, 2027
610 N PINE RIVER ST, ITHACA, MI 48847(989) 875-2888 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenna Putman NPPES

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

JENNA PUTMAN (NPI 1841541844) is an individual general practice provider in Ithaca, Michigan, licensed in Michigan (2901021389) and active in the NPI registry since October 2012. She has opted out of Medicare through November 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841541844
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJENNA PUTMAN
Location Address610 N PINE RIVER STIthaca, MI 48847
Mailing Address610 N Pine River StIthaca, MI 48847 · (989) 875-2888
Sole ProprietorYes
Enumeration DateOctober 1, 2012
Last NPPES UpdateDecember 10, 2015
NPI 1841541844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MI · 2901021389 Licensed in OH · 30.023844
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

610 N PINE RIVER ST, Ithaca, MI 48847

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jenna Putman has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2015 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2015
Opt-Out In Effect ThroughNovember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48847 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 4

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

Dentist (General Practice)
610 N PINE RIVER ST
ITHACA, MI 48847
Dentist (General Practice)
610 N PINE RIVER ST
ITHACA, MI 48847
Dentist (General Practice)
610 N PINE RIVER ST
ITHACA, MI 48847
Dentist (General Practice)
610 N PINE RIVER ST
ITHACA, MI 48847

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 Jenna Putman's NPI number?

The NPI number for Jenna Putman is 1841541844. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Jenna Putman located?

Jenna Putman practices at 610 N Pine River St, Ithaca, MI 48847. The listed phone number is (989) 875-2888.

What is Jenna Putman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jenna Putman enrolled in Medicare?

No. Jenna Putman has opted out of Medicare through November 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jenna Putman was last updated on December 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.