DR. BRANDY S.N. JEANSIMON (M.D.) – Obstetrics & Gynecology Physician, NPI 1578855201
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 OBSTETRICS/GYNECOLOGY in CT
Provider Addresses for DR. BRANDY S.N. JEANSIMON (M.D.)
194 Howard St
New London, CT 063205544
Phone: (860) 443-4148
Fax: (860) 865-2399
Type: Location
46 Fairview Ave Ste 229
Skowhegan, ME 049761481
Phone: (207) 474-7131
Type: Location
1001 E. PENNSYLVANIA AVENUE
OTTUMWA, IA 52501
Phone: (641) 682-8761
Fax: (641) 682-2764
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: 2022-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20171215001372 | I | Obstetrics/Gynecology | IA | TBD |
| I20220609001907 | I | Obstetrics/Gynecology | ME | TBD |
| I20221105000099 | I | Obstetrics/Gynecology | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06320)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | MA | |
| Nurse Practitioner | PA | |
| - | NY | |
| Nurse Practitioner | PA | |
| Registered Dietitian Or Nutrition Professional | PA | |
| Gastroenterology, Internal Medicine | PA | |
| - | PA |
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