JEAN JACQUELINE STANEFSKI (P.T.) – Physical Therapist, NPI 1952473811

JEAN JACQUELINE STANEFSKI (P.T.) is a healthcare provider. based in Wasilla, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 2696 (MN). The NPI Number for JEAN JACQUELINE STANEFSKI (P.T.) is 1952473811

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
JEAN JACQUELINE STANEFSKI (P.T.)
NPI
1952473811
Phone
(907) 376-6363
Address
650 N SHORELINE DR
Enumeration Date
15 November 2006
Last Update Date
15 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9076226363
Graduation Year
1984 (42 years ago)
PAC ID
1456350800
Group Practice PAC ID
5597744037
Professional Enrollment ID
I20090902000551
Address ID
AK995777740EA11432BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

461 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for JEAN JACQUELINE STANEFSKI (P.T.)

  • 650 N SHORELINE DR

    WASILLA, AK 996546677

    Phone: (907) 376-6363

    Type: Location

  • 24091 Long Lake Road

    Willow, AK 99688

    Phone: (907) 376-6363

    Fax: (907) 376-6366

    Type: Location

  • 11432 Business Blvd Ste 18

    Eagle River, AK 995777740

    Phone: (907) 622-6363

    Fax: (907) 622-6366

    Type: Location

  • Mile 4.4. Talkeetna Spur Rd

    Talkeetna, AK 99676

    Phone: (907) 376-6363

    Fax: (907) 376-6366

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-02

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
I20090902000551IPhysical Therapist In Private PracticeAKTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes73859$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes45532$0
97140Therapy procedure using manual technique, each 15 minutes29036$0
97530Therapy procedure using functional activities24728$0
97161Evaluation for physical therapy, typically 20 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Provider's Procedures

JEAN JACQUELINE STANEFSKI (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes50041

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: 5597744037View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTN
-AK
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Physical Therapist In Private PracticeND
Occupational Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK

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Frequently asked questions

Is JEAN JACQUELINE STANEFSKI (P.T.) listed with a National Provider Identifier?
Yes — JEAN JACQUELINE STANEFSKI (P.T.) has NPI 1952473811 on file in the registry.
Would JEAN JACQUELINE STANEFSKI (P.T.) appear as active to a payer?
You can treat JEAN JACQUELINE STANEFSKI (P.T.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JEAN JACQUELINE STANEFSKI (P.T.)?
At a glance, JEAN JACQUELINE STANEFSKI (P.T.) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Alaska is JEAN JACQUELINE STANEFSKI (P.T.) registered?
Use Wasilla, Alaska as the headline location for JEAN JACQUELINE STANEFSKI (P.T.) here.
When was this NPI issued?
Enumeration for JEAN JACQUELINE STANEFSKI (P.T.) is noted as November 15, 2006 where the registry provides it.

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