JENNA LYNN SNIEGOWSKI (PA-C) – Medical Physician Assistant, NPI 1063817013

JENNA LYNN SNIEGOWSKI (PA-C) is a healthcare provider. based in Gurnee, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085-005154 (IL). The NPI Number for JENNA LYNN SNIEGOWSKI (PA-C) is 1063817013

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNA LYNN SNIEGOWSKI (PA-C)
NPI
1063817013
Phone
(847) 336-6111
Address
202 S Greenleaf St Ste E
Enumeration Date
1 November 2014
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
8729345855
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20171128002772
Address ID
IL606112908CH251XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for JENNA LYNN SNIEGOWSKI (PA-C)

  • 202 S Greenleaf St Ste E

    Gurnee, IL 600313399

    Phone: (847) 336-6111

    Type: Location

  • 676 N SAINT CLAIR ST STE 2125

    CHICAGO, IL 606113330

    Phone: (312) 695-0990

    Fax: (312) 695-3098

    Type: Mailing

  • 675 N SAINT CLAIR ST FL 21

    CHICAGO, IL 606115975

    Phone: (312) 695-0990

    Fax: (312) 695-3098

    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: 2017-11-28

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
I20171128002772IPhysician AssistantILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60031)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to JENNA LYNN SNIEGOWSKI (PA-C)?
NPI 1063817013 is assigned to JENNA LYNN SNIEGOWSKI (PA-C) under the national enumeration system.
Does this profile mean JENNA LYNN SNIEGOWSKI (PA-C) is currently active?
Yes — JENNA LYNN SNIEGOWSKI (PA-C) appears active in the national provider directory.
Can you summarize JENNA LYNN SNIEGOWSKI (PA-C)'s specialty in plain language?
Clinically, the directory lists JENNA LYNN SNIEGOWSKI (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place JENNA LYNN SNIEGOWSKI (PA-C)?
The snapshot lists Gurnee, Illinois for JENNA LYNN SNIEGOWSKI (PA-C); download NPPES for the complete set.
What if Gurnee, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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