JENNIFER MICHELLE LYNDE (D.O.) – Trauma Surgery Physician, NPI 1093100307

JENNIFER MICHELLE LYNDE (D.O.) is a healthcare provider. based in Miami, Florida. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials D.O.. They hold a License No. 20A19645 (CA). The NPI Number for JENNIFER MICHELLE LYNDE (D.O.) is 1093100307

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MICHELLE LYNDE (D.O.)
NPI
1093100307
Phone
(305) 585-1293
Address
1611 NW 12TH AVE OFC 2169
Enumeration Date
2 April 2015
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Secondary Phone
9167343761
Graduation Year
2015 (11 years ago)
PAC ID
3971817776
Group Practice PAC ID
3375456619
Professional Enrollment ID
I20221012001145
Address ID
CA958171418SA2221XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,601 GENERAL SURGERY in OH

Provider Addresses for JENNIFER MICHELLE LYNDE (D.O.)

  • 1611 NW 12TH AVE OFC 2169

    MIAMI, FL 331361005

    Phone: (305) 585-1293

    Type: Mailing

  • 4881 SUGAR MAPLE DR

    WRIGHT PATTERSON AFB, OH 454335529

    Phone: (937) 257-9514

    Type: Location

  • 101 Bodin Cir

    Travis AFB, CA 945351809

    Phone: (707) 423-5224

    Type: Location

  • 2335 STOCKTON BLVD FL 5

    SACRAMENTO, CA 958172201

    Phone: (916) 734-2678

    Fax: (916) 734-7755

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: CLR Medical, Inc. ($55).

Total Amount

$55

General + Research + Ownership

Payments

1

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CLR Medical, Inc.$55
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: 2022-10-12

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
I20221012001145IGeneral SurgeryCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6931$0
99291Critical care, first 30-74 minutes4520$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 33136)

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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: 3375456619View full group profile
NameSpecialtyState
Nurse PractitionerNY
-PA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantIL
Internal Medicine, Hospice/Palliative CareCA
Family PracticeCA
-CA
-CA
-CA

Reviews

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Frequently asked questions

Can I verify JENNIFER MICHELLE LYNDE (D.O.) with an NPI only?
You can start verification with NPI 1093100307 for JENNIFER MICHELLE LYNDE (D.O.), then check state licensing separately.
Can I rely on JENNIFER MICHELLE LYNDE (D.O.) being an active provider?
As of the registry snapshot, JENNIFER MICHELLE LYNDE (D.O.) is marked active.
What taxonomy line describes JENNIFER MICHELLE LYNDE (D.O.)?
For research purposes, treat JENNIFER MICHELLE LYNDE (D.O.) as Trauma Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIFER MICHELLE LYNDE (D.O.)?
JENNIFER MICHELLE LYNDE (D.O.)'s geographic hint is Miami, Florida in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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