JENNA CAROLYN PHENICIE (PA-C) – Physician Assistant, NPI 1083322929
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for JENNA CAROLYN PHENICIE (PA-C)
520 SAYBROOK RD # 100B
MIDDLETOWN, CT 064574700
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $241.
Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Axonics, Inc. ($149).
Total Amount
$241
General + Research + Ownership
Payments
6
Total payment records
General Amount
$241
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $149 |
| Astellas Pharma US Inc | $65 |
| Teleflex LLC | $26 |
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: 2022-12-14
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 |
|---|---|---|---|---|
| I20221214000348 | I | Physician Assistant | CT | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 207 | 143 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 131 | 83 | $0 |
| 76857 | Limited ultrasound scan of pelvis | 97 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 71 | $0 |
| 64566 | Insertion of lower leg neurostimulator electrode | 76 | 12 | $0 |
Insurance plans in this area (ZIP 06457)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Physician Assistant | MA | |
| General Surgery | CT | |
| H O S P I T A L I S T | CT | |
| - | CT | |
| Physician Assistant | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.