Search Icon


Provider Type Icon

MS. JENNA LYNN STUMP PA NPI 1710119847


NPI Information

NPI: 1710119847
Provider Name: MS. JENNA LYNN STUMP, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: CRYSTAL LAKE CLINIC PC

PECOS Registration: Yes

Address:
2283 E M 113
KINGSLEY, MI
ZIP 49649
Phone: (231) 263-0700
Get Directions

MS. Jenna Lynn Stump, PA is a physician assistant in Kingsley, MI with 14 years of experience. The provider is 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. MS. Jenna Lynn Stump, PA NPI is 1710119847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2283 E M 113
KINGSLEY, MI
ZIP 49649-370
Phone: (231) 263-0700
Fax: (231) 263-0707

The NPI 1710119847 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 8/24/2009 and was last updated on 8/21/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant5601005565MICHIGANYes

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: 3/13/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.