JENNIFER J EKKENS DO NPI 1275591414

NPI Information

  • NPI: 1275591414
  • Provider Name: JENNIFER J EKKENS, DO
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 JEFFERSON AVE SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (800) 968-6866

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NPI Details

Jennifer J Ekkens, DO is an emergency medicine in Grand Rapids, MI with 23 years of experience. The provider is 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. Jennifer J Ekkens, DO NPI is 1275591414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2003

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (800) 968-6866

The NPI 1275591414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 1/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine5101015656MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00415675OTHERMICHIGANRAILROAD MEDICARE
24827383MEDICAIDMICHIGAN
3I48976MEDICARE UPIN
45201638MEDICAIDMICHIGAN
54827374MEDICAIDMICHIGAN
6D16091092MEDICARE OSCAR/CERTIFICATIONMICHIGAN
7P00343174MEDICARE ID-TYPE UNSPECIFIEDMICHIGANRAILROAD
81598712390OTHERMICHIGANGROUP NPI
94827409MEDICAIDMICHIGAN
10JE015656OTHERMICHIGANBCBS
114827418MEDICAIDMICHIGAN
124827392MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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