JEANETTE L NIENABER (PA) – Physician Assistant, NPI 1134558984

JEANETTE L NIENABER (PA) is a healthcare provider. based in Seward, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 11495 (MN). The NPI Number for JEANETTE L NIENABER (PA) is 1134558984

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JEANETTE L NIENABER (PA)
NPI
1134558984
Phone
(907) 224-2273
Address
PO BOX 2895
Enumeration Date
2 November 2013
Last Update Date
21 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072242273
Graduation Year
2013 (13 years ago)
PAC ID
0446487847
Group Practice PAC ID
6800025768
Professional Enrollment ID
I20151021002691
Address ID
AK996642895SE417XXAVEX301

Contacts

Main Contact
https://ak.myonlinechart.org/affiliate/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

551 PHYSICIAN ASSISTANT in AK

Provider Addresses for JEANETTE L NIENABER (PA)

  • PO BOX 2895

    SEWARD, AK 996642895

    Phone: (907) 224-2273

    Fax: (907) 224-8501

    Type: Mailing

  • 417 FIRST AVENUE

    SEWARD, AK 99664

    Phone: (907) 224-2273

    Fax: (907) 224-8501

    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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Lilly USA, LLC ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$30
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: 2015-10-21

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
I20151021002691IPhysician AssistantAKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96372Injection of drug or substance under skin or into muscle7416$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional5013$0
81002Urinalysis, manual test1716$0
View full utilization report →

Insurance plans in this area (ZIP 99664)

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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: 6800025768View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerAK
Family PracticeAK
Family Practice, Internal MedicineMA
Nurse PractitionerOH
Clinical Social WorkerAK
Family Practice, Osteopathic Manipulative MedicineME
Family PracticeAK
Nurse PractitionerAR
Nurse PractitionerWI

Reviews

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Frequently asked questions

What federal number belongs to JEANETTE L NIENABER (PA)?
The federal identifier for JEANETTE L NIENABER (PA) is NPI 1134558984.
Does this profile mean JEANETTE L NIENABER (PA) is currently active?
Yes — JEANETTE L NIENABER (PA) appears active in the national provider directory.
What kind of provider is JEANETTE L NIENABER (PA)?
The page reflects Physician Assistant for JEANETTE L NIENABER (PA). Clinical services aligned with this taxonomy classification.
What location shows for JEANETTE L NIENABER (PA)?
We surface Seward, Alaska for JEANETTE L NIENABER (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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