JENNIFER K OWEN (PA-C) – Physician Assistant, NPI 1578078622
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
Provider Addresses for JENNIFER K OWEN (PA-C)
14 Riordan Rd
Bella Vista, AR 727143516
Phone: (479) 876-8550
Fax: (479) 208-4266
Type: Location
1651 E Stearns St Ste 110
Fayetteville, AR 727036196
Phone: (479) 876-8550
Fax: (479) 208-4266
Type: Location
1651 E STEARNS ST STE 110
FAYETTEVILLE, AR 727036196
Phone: (479) 876-8550
Fax: (479) 208-4266
Type: Mailing
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 727125473
Phone: (479) 876-8550
Fax: (479) 208-4266
Type: Location
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
ROCHESTER, MN 559050002
Phone: (507) 284-2511
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.
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: 2018-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180112001227 | I | Physician Assistant | AR | TBD |
| I20181015003435 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 838 | 199 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 472 | 461 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 279 | 276 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 154 | 154 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 106 | 104 | $0 |
Insurance plans in this area (ZIP 72714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | AR | |
| D E R M A T O L O G Y | AR | |
| Nurse Practitioner | AR | |
| D E R M A T O L O G Y | AR | |
| Physician Assistant | OK | |
| Physician Assistant | AR | |
| D E R M A T O L O G Y | AR | |
| Physician Assistant | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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