JENNIFER LYNN WAICUS – Family Nurse Practitioner, NPI 1417585316

JENNIFER LYNN WAICUS is a healthcare provider. based in Melbourne, Florida. specializing in Family Nurse Practitioner. They hold a License No. APRN11006496 (FL). The NPI Number for JENNIFER LYNN WAICUS is 1417585316

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN WAICUS
NPI
1417585316
Phone
(855) 200-7595
Address
2755 N WICKHAM RD STE 102
Enumeration Date
28 March 2020
Last Update Date
28 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527325590
Graduation Year
2020 (6 years ago)
PAC ID
0547681785
Group Practice PAC ID
1254601743
Professional Enrollment ID
I20200526003023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for JENNIFER LYNN WAICUS

  • 2755 N WICKHAM RD STE 102

    MELBOURNE, FL 329352226

    Phone: (855) 200-7595

    Type: Location

  • 3014 ORANGE TREE DR

    EDGEWATER, FL 321416216

    Phone: (386) 690-6951

    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: 2020-05-26

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
I20200526003023INurse PractitionerFLTBD

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
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg4,97528$0
20610Aspiration and/or injection of fluid from large joint20029$0
77002Fluoroscopic guidance for needle placement19829$0
99204New patient office or other outpatient visit, 45-59 minutes4848$0
99212Established patient office or other outpatient visit, 10-19 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 32935)

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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: 1254601743View full group profile

Reviews

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Frequently asked questions

What is JENNIFER LYNN WAICUS's NPI number?
JENNIFER LYNN WAICUS's NPI is 1417585316 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JENNIFER LYNN WAICUS?
For scheduling context, JENNIFER LYNN WAICUS is shown as active in the registry.
How would a patient describe JENNIFER LYNN WAICUS's focus?
For JENNIFER LYNN WAICUS, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER LYNN WAICUS?
Directory geography for JENNIFER LYNN WAICUS centers on Melbourne, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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