JENNA TATGENHORST (PA-C) – Physician Assistant, NPI 1417363763
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for JENNA TATGENHORST (PA-C)
1364 CLIFTON RD NE
ATLANTA, GA 303221059
Phone:
Type: Mailing
1362 CLIFTON RD NE
ATLANTA, GA 303228001
Phone: (404) 727-7825
Type: Location
11750 W 2nd Pl Ste 255
Lakewood, CO 802281726
Phone: (303) 643-4117
Fax: (720) 321-8041
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (303) 763-4900
Fax: (303) 763-5495
Type: Mailing
350 INDIANA ST STE 250
GOLDEN, CO 804015074
Phone: (720) 898-9427
Type: Location
1805 SHEA CENTER DR STE 301
HIGHLANDS RANCH, CO 801292277
Phone: (303) 814-0505
Fax: (303) 814-6491
Type: Mailing
7280 LAGAE RD STE I
CASTLE PINES, CO 801089454
Phone: (303) 814-0505
Fax: (303) 814-6491
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $139.
Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($79).
Total Amount
$139
General + Research + Ownership
Payments
6
Total payment records
General Amount
$139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $79 |
| GlaxoSmithKline, LLC. | $20 |
| Boston Scientific Corporation | $20 |
| Hologic Sales and Service, LLC | $19 |
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: 2021-09-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210901000431 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 17 | $0 |
Insurance plans in this area (ZIP 30322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Internal Medicine | PA |
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