DR. JAMI ANN ROTHE KINNUCAN (M.D.) – Gastroenterology Physician, NPI 1003045634

DR. JAMI ANN ROTHE KINNUCAN (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 1025056458 (IL). The NPI Number for DR. JAMI ANN ROTHE KINNUCAN (M.D.) is 1003045634

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMI ANN ROTHE KINNUCAN (M.D.)
NPI
1003045634
Phone
(904) 953-2000
Address
4500 SAN PABLO RD S
Enumeration Date
2 July 2009
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
9049532000
Graduation Year
2009 (17 years ago)
PAC ID
9133432230
Group Practice PAC ID
5698689297
Professional Enrollment ID
I20211210001527
Address ID
FL322241865JA4500XSXXX500
Telehealth
Yes

Contacts

Secure Messaging
jkinnucan1640212@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:16State licenses:4Other namesUpdated within 12 months

1,474 GASTROENTEROLOGY in FL

Provider Addresses for DR. JAMI ANN ROTHE KINNUCAN (M.D.)

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Location

  • 200 1st St SW

    Rochester, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    3RD FLOOR TAUBMAN CENTER RECP D

    ANN ARBOR, MI 481095362

    Phone: (734) 647-5944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $192,425.

Total Amount is formed as General ($192,425) + Research ($0) + Ownership ($0) = $192,425.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($73,848).

Total Amount

$192,425

General + Research + Ownership

Payments

94

Total payment records

General Amount

$192,425

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2023-10-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150720000072IGastroenterologyMITBD
I20211210001527IGastroenterologyFLTBD
I20231004001450IGastroenterologyMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5746$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4747$0
45380Biopsy of large bowel using a flexible endoscope4443$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2925$0
99215Established patient office or other outpatient visit, 40-54 minutes2827$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Provider's Procedures

DR. JAMI ANN ROTHE KINNUCAN (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMI45385Removal of polyps or growths of large bowel using an endoscope1515

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: 5698689297View full group profile
NameSpecialtyState
Physician AssistantFL
Orthopedic SurgeryFL
Internal MedicineFL
H O S P I T A L I S TFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What NPI should I save for DR. JAMI ANN ROTHE KINNUCAN (M.D.)?
Save NPI 1003045634 if you need a stable reference for DR. JAMI ANN ROTHE KINNUCAN (M.D.).
Is DR. JAMI ANN ROTHE KINNUCAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JAMI ANN ROTHE KINNUCAN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. JAMI ANN ROTHE KINNUCAN (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JAMI ANN ROTHE KINNUCAN (M.D.)?
The page summarizes Jacksonville, Florida for DR. JAMI ANN ROTHE KINNUCAN (M.D.); expand the address list for detail.
Is DR. JAMI ANN ROTHE KINNUCAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1003045634. Always confirm identity and privileges with the practice and licensing boards.

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