JENNIFER LYNN VAN KEULEN (PA-C) – Physician Assistant, NPI 1215401369
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for JENNIFER LYNN VAN KEULEN (PA-C)
1041 S PARK RD APT 205
HOLLYWOOD, FL 330218786
Phone: (763) 360-0855
Type: Mailing
Community Memorial Hospital, 855, Mankato Avenue, Sugarloaf, Winona, Winona County, Minnesota, 55987, United States
WINONA, MN 559874868
Phone: (507) 474-7830
Type: Location
855 Mankato Ave
Winona, MN 559874868
Phone: (507) 474-7830
Type: Location
1512 E 12TH AVE UNIT 372
TAMPA, FL 336053578
Phone: (763) 360-0855
Type: Mailing
3301 W GANDY BLVD
TAMPA, FL 336112931
Phone: (813) 925-1903
Type: Location
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 $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-06-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($122).
Total Amount
$122
General + Research + Ownership
Payments
1
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $122 |
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: 2022-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190325001464 | I | Physician Assistant | MN | TBD |
| I20220209002886 | I | Physician Assistant | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 63 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 32 | $0 |
| 87400 | Detection test by immunoassay technique for influenza virus | 32 | 16 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 30 | 30 | $0 |
Insurance plans in this area (ZIP 33021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | VA | |
| Physician Assistant | FL | |
| Physician Assistant | CA | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Physician Assistant | FL |
Reviews
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