MRS. JENNIFER KOCH MEZICK (PA-C) – Medical Physician Assistant, NPI 1699058917

MRS. JENNIFER KOCH MEZICK (PA-C) is a healthcare provider. based in Mobile, Alabama. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 782 (AL). The NPI Number for MRS. JENNIFER KOCH MEZICK (PA-C) is 1699058917

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER KOCH MEZICK (PA-C)
NPI
1699058917
Phone
(251) 463-3457
Address
307 GAINES AVE
Enumeration Date
22 September 2011
Last Update Date
22 September 2011

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2516330123
Graduation Year
2011 (15 years ago)
PAC ID
4082886932
Group Practice PAC ID
8426210014
Professional Enrollment ID
I20111019000062
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MRS. JENNIFER KOCH MEZICK (PA-C)

  • 307 GAINES AVE

    MOBILE, AL 366092460

    Phone: (251) 463-3457

    Type: Mailing

  • 1613 N MCKENZIE ST

    FOLEY, AL 365352247

    Phone: (251) 949-3400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-10-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111019000062IPhysician AssistantALTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36609)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426210014View full group profile
NameSpecialtyState
Physician AssistantAL
Emergency MedicineAL
-AL
Physician AssistantAL
Physician AssistantAL
-AL
Internal Medicine, Pediatric MedicineAL
Pediatric MedicineAL
Physician AssistantAL
Physician AssistantAL

Reviews

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Frequently asked questions

What identifier follows MRS. JENNIFER KOCH MEZICK (PA-C) across health systems?
The NPI 1699058917 uniquely identifies MRS. JENNIFER KOCH MEZICK (PA-C) in U.S. healthcare data.
Is MRS. JENNIFER KOCH MEZICK (PA-C)'s NPI status active today?
Active status means MRS. JENNIFER KOCH MEZICK (PA-C)'s NPI record is not deactivated in the public file.
What services align with MRS. JENNIFER KOCH MEZICK (PA-C)'s listing?
MRS. JENNIFER KOCH MEZICK (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. JENNIFER KOCH MEZICK (PA-C)?
MRS. JENNIFER KOCH MEZICK (PA-C) is associated with Mobile, Alabama in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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