JENNIFER LYNN CASEY (M.D.) – Family Medicine Physician, NPI 1417040155
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER LYNN CASEY (M.D.)
901 22ND AVE S
ST PETERSBURG, FL 337052933
Phone: (727) 310-0925
Fax: (727) 498-5470
Type: Mailing
15105, Saint Clair Avenue, Five Points, Collinwood, Cleveland, Cuyahoga County, Ohio, 44110, United States
CLEVELAND, OH 441103719
Phone: (216) 800-8020
Fax: (216) 830-7652
Type: Mailing
5156 E MAIN ST
COLUMBUS, OH 432132424
Phone: (614) 702-7655
Fax: (614) 706-1770
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-10-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060203000078 | I | Family Practice | OH | TBD |
| I20210511002058 | I | Family Practice | MI | TBD |
| I20221008000000 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | OH | |
| O P T O M E T R Y | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH |
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