JENNIE HORSTMANN – Physician Assistant, NPI 1093457764

JENNIE HORSTMANN is a healthcare provider. based in Fairfield, Connecticut. specializing in PHYSICIAN ASSISTANT. The NPI Number for JENNIE HORSTMANN is 1093457764

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIE HORSTMANN
NPI
1093457764
Phone
Not provided
Address
1401 KINGS HWY
Enumeration Date
12 April 2022
Last Update Date
12 April 2022

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7572403500
Graduation Year
2021 (5 years ago)
PAC ID
1254713712
Group Practice PAC ID
0143490326
Professional Enrollment ID
I20231212004203
Address ID
VA233204654CH325XXPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for JENNIE HORSTMANN

  • 1401 KINGS HWY

    FAIRFIELD, CT 068245375

    Phone:

    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)

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: 2023-12-12

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
I20231212004203IPhysician AssistantVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8984$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus5353$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
87804Detection test by immunoassay with direct visual observation for influenza virus4221$0
81003Automated urinalysis test2422$0
View full utilization report →

Insurance plans in this area (ZIP 06824)

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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: 0143490326View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantWV
Physician AssistantVA
Nurse PractitionerNY
Physician AssistantVA
Physician AssistantKS
Physician AssistantMA
Physician AssistantNC
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is JENNIE HORSTMANN's NPI number?
JENNIE HORSTMANN's NPI is 1093457764 — the number used across U.S. healthcare to identify this provider.
Would JENNIE HORSTMANN appear as active to a payer?
You can treat JENNIE HORSTMANN as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JENNIE HORSTMANN?
JENNIE HORSTMANN is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIE HORSTMANN?
Travel planning: use Fairfield, Connecticut as the reference point for JENNIE HORSTMANN, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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