DR. JENNIFER NOELLE MCCALLISTER (MD) – Surgery Physician, NPI 1629271192

DR. JENNIFER NOELLE MCCALLISTER (MD) is a healthcare provider. based in New britain, Connecticut. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 045391 (CT). The NPI Number for DR. JENNIFER NOELLE MCCALLISTER (MD) is 1629271192

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER NOELLE MCCALLISTER (MD)
NPI
1629271192
Phone
(860) 224-5430
Address
40 HART ST
Enumeration Date
11 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8605853000
Graduation Year
2002 (24 years ago)
PAC ID
5890881577
Group Practice PAC ID
9032014758
Professional Enrollment ID
I20071010000533
Address ID
CT060105161BR41XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

525 GENERAL SURGERY in CT

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Provider Addresses for DR. JENNIFER NOELLE MCCALLISTER (MD)

  • 40, Hart Street, New Britain, Hartford County, Connecticut, 06052, United States

    BUILDING D

    NEW BRITAIN, CT 060521743

    Phone: (860) 224-5430

    Type: Location

  • 105, South Farms Drive, Manchester, Capitol Planning Region, Connecticut, 06040, United States

    MANCHESTER, CT 060406676

    Phone: (860) 432-5960

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $234.

Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($58).

Total Amount

$234

General + Research + Ownership

Payments

11

Total payment records

General Amount

$234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-10-10

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
I20071010000533IGeneral SurgeryCTTBD

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 minutes4534$0
99214Established patient office or other outpatient visit, 30-39 minutes3024$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 06052)

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Provider's Procedures

DR. JENNIFER NOELLE MCCALLISTER (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYCT11042Removal of skin and tissue first 20 sq cm or less6629

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: 9032014758View full group profile

Reviews

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Frequently asked questions

How do I look up DR. JENNIFER NOELLE MCCALLISTER (MD) by NPI?
Use NPI 1629271192 when you need to reference DR. JENNIFER NOELLE MCCALLISTER (MD) in forms, claims, or directories.
Is DR. JENNIFER NOELLE MCCALLISTER (MD)'s NPI currently valid?
The extract we use shows DR. JENNIFER NOELLE MCCALLISTER (MD) as active.
What kind of provider is DR. JENNIFER NOELLE MCCALLISTER (MD)?
The page reflects Surgery Physician for DR. JENNIFER NOELLE MCCALLISTER (MD). Clinical services aligned with this taxonomy classification.
Does DR. JENNIFER NOELLE MCCALLISTER (MD) practice in Connecticut?
You will see New Britain, Connecticut on file for DR. JENNIFER NOELLE MCCALLISTER (MD) alongside any extra practice locations.
How can I contact DR. JENNIFER NOELLE MCCALLISTER (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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