Tami Lynn Pettenger, DNP in Hastings, MI - Medicare Nurse Practitioner

Tami Lynn Pettenger, DNP is a medicare enrolled "Nurse Practitioner" in Hastings, Michigan. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pennock Hospital, Spectrum Health Primary Care Partners, Spectrum Health Hospitals and her current practice location is 1005 W Green St, Hastings, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 948-5892.

Tami Lynn Pettenger is licensed to practice in Michigan (license number 4704237433) 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 1235676651.

Contact Information

	Tami Lynn Pettenger, DNP
	1005 W Green St, Hastings, MI 49058-1710
	(269) 948-5892
	Not Available

Map and Direction

Provider's Profile

Full Name	Tami Lynn Pettenger
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1005 W Green St, Hastings, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tami Lynn Pettenger graduated from nursing school in 2016

NPI Data:

NPI Number: 1235676651
Provider Enumeration Date: 01/24/2017
Last Update Date: 04/07/2025

Medicare PECOS Information:

PECOS PAC ID: 7113201039
Enrollment ID: I20170221001450

Medical Identifiers

Medical identifiers for Tami Lynn Pettenger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235676651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704237433 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health Pennock	Hastings, MI	Hospital
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pennock Hospital	4587551015	46
Spectrum Health Primary Care Partners	4587568647	1735
Spectrum Health Hospitals	8921904764	132

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. Tami Lynn Pettenger allows following entities to bill medicare on her behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

Entity Name	Spectrum Health Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997

Entity Name	Pennock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518186295 PECOS PAC ID: 4587551015 Enrollment ID: O20040301000595

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. Tami Lynn Pettenger 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
Tami Lynn Pettenger, DNP 100 Michigan St Ne, # Mc-845, Grand Rapids, MI 49503-2560 Ph: () -	Tami Lynn Pettenger, DNP 1005 W Green St, Hastings, MI 49058-1710 Ph: (269) 948-5892

Reviews and Comments

Nurse Practitioner Nurses in Hastings, MI

Kimberly Porter, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St Ste 301, Hastings, MI 49058 Phone: 269-945-8080
Alia Anthony, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922
Laura Katherine Bevins, MP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212
Taylor Rose Kroeze, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St Ste 3, Hastings, MI 49058 Phone: 269-945-0922
Mrs. Tiffany R Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922 Fax: 269-945-4511
Grant Keith Heide, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212
Cindy Marie Bigler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1108 W State St Ste 3, Hastings, MI 49058 Phone: 269-945-0922

Tami Lynn Pettenger, DNP - Medicare Nurse Practitioner in Hastings, MI