JENNIFER LEIGH HANISCH (AGACNP) – Nurse Practitioner, NPI 1124667175
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for JENNIFER LEIGH HANISCH (AGACNP)
7314 S 26TH LN
PHOENIX, AZ 850416475
Phone: (623) 210-5830
Type: Location
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
Phone: (602) 839-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $364.
Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Haemonetics Corporation ($227).
Total Amount
$364
General + Research + Ownership
Payments
4
Total payment records
General Amount
$364
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Haemonetics Corporation | $227 |
| AstraZeneca Pharmaceuticals LP | $122 |
| Integra LifeSciences Corporation | $15 |
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: 2021-08-26
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 |
|---|---|---|---|---|
| I20210826002322 | I | Nurse Practitioner | AZ | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 30 | 14 | $0 |
Insurance plans in this area (ZIP 85041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Nurse Practitioner | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Gastroenterology, Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Oral Surgery, Maxillofacial Surgery | NJ | |
| Clinical Psychologist | AZ | |
| U R O L O G Y | MD |
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