MRS. JENNIFER S OPDYCKE PAC
NPI 1952358160
Physician Assistant in Kalamazoo, MI

Active since May 31, 2006Opted out of Medicare · through Jan 1, 2028
5708 VENTURE CT STE A, KALAMAZOO, MI 49009(269) 220-0648(269) 220-3535 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jennifer S Opdycke Pac NPPES

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

MRS. JENNIFER S OPDYCKE PAC (NPI 1952358160) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601004149) and active in the NPI registry since May 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952358160
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JENNIFER S OPDYCKECredential: PAC
Location Address5708 VENTURE CT STE AKalamazoo, MI 49009-2858
Mailing Address5708 Venture Ct Ste AKalamazoo, MI 49009-2858 · (269) 220-0648 · Fax (269) 220-3535
Fax(269) 220-3535
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
NPI 1952358160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601004149
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5601004149 (MI)
5708 VENTURE CT STE A, Kalamazoo, MI 49009

Other Identifiers 2

Other1104840529MI · Bcbsm - Bmg
Medicaid1952358160MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Jennifer S Opdycke Pac 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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 49009 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 2

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

Massage Therapist
5708 VENTURE CT STE A
KALAMAZOO, MI 49009
Family Medicine
5708 VENTURE CT STE A
KALAMAZOO, MI 49009

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 Jennifer Opdycke's NPI number?

The NPI number for Jennifer Opdycke is 1952358160. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jennifer Opdycke located?

Jennifer Opdycke practices at 5708 Venture Ct Ste A, Kalamazoo, MI 49009. The listed phone number is (269) 220-0648.

What is Jennifer Opdycke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jennifer Opdycke enrolled in Medicare?

No. Jennifer Opdycke has opted out of Medicare through January 1, 2028. 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 Jennifer Opdycke was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.