JENNIE ISON (MD) – Oral and Maxillofacial Pathology Dentistry, NPI 1427309897

JENNIE ISON (MD) is a healthcare provider. based in Davie, Florida. specializing in DENTIST. They hold the professional credentials MD. They hold a License No. 9196 (KY). The NPI Number for JENNIE ISON (MD) is 1427309897

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JENNIE ISON (MD)
NPI
1427309897
Phone
(954) 262-1761
Address
3200 S UNIVERSITY DR
Enumeration Date
26 September 2012
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
Secondary Phone
8593233368
Graduation Year
2012 (14 years ago)
PAC ID
2860737400
Group Practice PAC ID
3072425289
Professional Enrollment ID
I20220124001747
Address ID
KY405360297LE770XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

63 DENTIST in FL

Provider Addresses for JENNIE ISON (MD)

  • 3200 S UNIVERSITY DR

    DAVIE, FL 333282018

    Phone: (954) 262-1761

    Type: Location

  • 1010 MAIN ST S

    MC KEE, KY 404477089

    Phone: (606) 287-7104

    Fax: (606) 287-4409

    Type: Mailing

  • 800 Rose St

    Lexington, KY 405362018

    Phone: (859) 323-5515

    Type: Location

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: 2022-01-24

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
I20220124001747IDentistKYTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity611541$0
88311Preparation of tissue for examination by removing any calcium present1715$0
88304Pathology examination of tissue using a microscope, moderately low complexity1313$0
View full utilization report →

Insurance plans in this area (ZIP 33328)

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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: 3072425289View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerAR
Physician AssistantKY
Physician AssistantKY
-KY

Reviews

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Frequently asked questions

What federal number belongs to JENNIE ISON (MD)?
The federal identifier for JENNIE ISON (MD) is NPI 1427309897.
Is JENNIE ISON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JENNIE ISON (MD)?
The page reflects Oral and Maxillofacial Pathology Dentistry for JENNIE ISON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIE ISON (MD)?
The page summarizes Davie, Florida for JENNIE ISON (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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