JENNIFER LOUISE HENNICK (FNP) – Family Nurse Practitioner, NPI 1083929541

JENNIFER LOUISE HENNICK (FNP) is a healthcare provider. based in Tipton, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 19991 (CA). The NPI Number for JENNIFER LOUISE HENNICK (FNP) is 1083929541

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LOUISE HENNICK (FNP)
NPI
1083929541
Phone
(559) 752-4147
Address
575 N THOMPSON RD
Enumeration Date
9 August 2010
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153853751
Graduation Year
2010 (16 years ago)
PAC ID
9537423843
Group Practice PAC ID
4688586134
Professional Enrollment ID
I20230124001117
Address ID
TN372052005NA4220XPIKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for JENNIFER LOUISE HENNICK (FNP)

  • 575 N THOMPSON RD

    TIPTON, CA 932729756

    Phone: (559) 752-4147

    Fax: (559) 752-4150

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $2,892.

Total Amount is formed as General ($2,892) + Research ($0) + Ownership ($0) = $2,892.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Gilead Sciences, Inc. ($288).

Total Amount

$2,892

General + Research + Ownership

Payments

105

Total payment records

General Amount

$2,892

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2023-01-24

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
I20230124001117INurse PractitionerTNTBD

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 muscle2016$0
96413Administration of chemotherapy into vein, 1 hour or less1511$0
99215Established patient office or other outpatient visit, 40-54 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 93272)

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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: 4688586134View full group profile

Reviews

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Frequently asked questions

How do I look up JENNIFER LOUISE HENNICK (FNP) by NPI?
Use NPI 1083929541 when you need to reference JENNIFER LOUISE HENNICK (FNP) in forms, claims, or directories.
Is JENNIFER LOUISE HENNICK (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JENNIFER LOUISE HENNICK (FNP)?
The page reflects Family Nurse Practitioner for JENNIFER LOUISE HENNICK (FNP). Clinical services aligned with this taxonomy classification.
Where is JENNIFER LOUISE HENNICK (FNP)'s primary listing?
We display Tipton, California because that is what the record indicates for JENNIFER LOUISE HENNICK (FNP).
How can I contact JENNIFER LOUISE HENNICK (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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