DR. PETRIJA JEN (DO) – Emergency Medicine Physician, NPI 1124125471

DR. PETRIJA JEN (DO) is a healthcare provider. based in Punta gorda, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS7864 (FL). The NPI Number for DR. PETRIJA JEN (DO) is 1124125471

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETRIJA JEN (DO)
NPI
1124125471
Phone
(941) 505-1462
Address
2300 SANDY PINES DR
Enumeration Date
20 September 2006
Last Update Date
9 April 2020

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2394365000
Graduation Year
1995 (31 years ago)
PAC ID
4082515812
Group Practice PAC ID
0648314393
Professional Enrollment ID
I20040115000706
Address ID
FL341025754NA350XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for DR. PETRIJA JEN (DO)

  • 2300 SANDY PINES DR

    PUNTA GORDA, FL 339829640

    Phone: (941) 505-1462

    Type: Mailing

  • North Naples Hospital, 11190, Health Park Boulevard, Palm River Shores, Naples, Collier County, Florida, 34110, United States

    NAPLES, FL 341105729

    Phone: (239) 513-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $250.

Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABBVIE INC. ($250).

Total Amount

$250

General + Research + Ownership

Payments

2

Total payment records

General Amount

$250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$250
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: 2004-01-15

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
I20040115000706IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making230226$0
99284Emergency department visit with moderate level of medical decision making123123$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7370$0
99283Emergency department visit with low level of medical decision making3434$0
99291Critical care, first 30-74 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 33982)

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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: 0648314393View full group profile
NameSpecialtyState
-FL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineGU
Emergency MedicineFL
Emergency MedicineMS
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineMA
Emergency MedicineFL

Reviews

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Frequently asked questions

Where can patients find DR. PETRIJA JEN (DO)'s NPI?
You can confirm DR. PETRIJA JEN (DO) with NPI 1124125471; it appears in the national provider directory.
Is DR. PETRIJA JEN (DO) currently active in the NPI registry?
CMS-published data lists DR. PETRIJA JEN (DO) as an active registrant.
Can you summarize DR. PETRIJA JEN (DO)'s specialty in plain language?
Clinically, the directory lists DR. PETRIJA JEN (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. PETRIJA JEN (DO)'s primary listing?
We display Punta Gorda, Florida because that is what the record indicates for DR. PETRIJA JEN (DO).
Is DR. PETRIJA JEN (DO) a real provider?
This page reflects official NPPES data for NPI 1124125471. Always confirm identity and privileges with the practice and licensing boards.

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