Jenna Rose Stoddard, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Traverse City, Michigan. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novello Specialty Clinic Pc, Great Lakes Therapy Housecalls Pc and her current practice location is
4100 Park Forest Dr Ste 200, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 600-7466.
Jenna Rose Stoddard is licensed to practice in Michigan (license number 4704330253) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790549327.
Physician's Profile
| Full Name | Jenna Rose Stoddard |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 4100 Park Forest Dr Ste 200, Traverse City, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jenna Rose Stoddard graduated from medical school in 2023
NPI Data:
- NPI Number: 1790549327
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 05/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 7719427863
- Enrollment ID: I20240904003312
Medical Identifiers
Medical identifiers for Jenna Rose Stoddard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790549327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4704330253 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704330253 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Novello Specialty Clinic Pc | 3870961493 | 4 |
| Great Lakes Therapy Housecalls Pc | 7719876580 | 77 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jenna Rose Stoddard allows following entities to bill medicare on her behalf.
| Entity Name | Novello Specialty Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629716964
PECOS PAC ID: 3870961493
Enrollment ID: O20221201001361 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Rose Stoddard is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jenna Rose Stoddard, FNP
1105 Sixth St,
Traverse City, MI 49684-2345
Ph: (231) 935-5000 | Jenna Rose Stoddard, FNP
4100 Park Forest Dr Ste 200,
Traverse City, MI 49684-7306
Ph: (231) 600-7466 |
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