MRS. JENNIFER LAUREN HOLDEFER PENUEL (PA-C) – Physician Assistant, NPI 1619140571
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for MRS. JENNIFER LAUREN HOLDEFER PENUEL (PA-C)
ZRB 739
1530 3RD AVE SOUTH
BIRMINGHAM, AL 352940001
Phone: (205) 975-1334
Type: Location
3921, Frontier Street, Huntington Place, Northport, Tuscaloosa County, Alabama, 35475, United States
NORTHPORT, AL 354754658
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080612000577 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 28 | $0 |
Insurance plans in this area (ZIP 35294)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Internal Medicine | AL | |
| Family Practice | MS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | AL | |
| Family Practice | AL | |
| Family Practice | AL | |
| Internal Medicine | TX | |
| Endocrinology, Internal Medicine | AL |
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