JENNIFER JEANNE JOUETT (PA-C) – Physician Assistant, NPI 1114259199

JENNIFER JEANNE JOUETT (PA-C) is a healthcare provider. based in Fairview heights, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085003689 (IL). The NPI Number for JENNIFER JEANNE JOUETT (PA-C) is 1114259199

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER JEANNE JOUETT (PA-C)
NPI
1114259199
Phone
(618) 239-0678
Address
5023 N ILLINOIS ST
Enumeration Date
2 February 2010
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186227546
Graduation Year
2009 (17 years ago)
PAC ID
1456488741
Group Practice PAC ID
9739451956
Professional Enrollment ID
I20100419000157
Address ID
IL622691887OX331XXPARK300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for JENNIFER JEANNE JOUETT (PA-C)

  • 5023, North Illinois Street, Fairview Heights, Saint Clair County, Illinois, 62208, United States

    FAIRVIEW HEIGHTS, IL 622083453

    Phone: (618) 239-0678

    Fax: (800) 516-2392

    Type: Mailing

  • 1191 FORTUNE BLVD STE 2

    SHILOH, IL 622697474

    Phone: (618) 622-7456

    Fax: (618) 627-0098

    Type: Mailing

  • 1191 FORTUNE BLVD

    SHILOH, IL 622697473

    Phone: (618) 622-7546

    Fax: (618) 627-0098

    Type: Location

  • 5023 N Illinois St

    Fairview Heights, IL 622083453

    Phone: (618) 239-0678

    Fax: (800) 516-2392

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,112.

Total Amount is formed as General ($1,112) + Research ($0) + Ownership ($0) = $1,112.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($256).

Total Amount

$1,112

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-04-19

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
I20100419000157IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,228211$0
99213Established patient office or other outpatient visit, 20-29 minutes469360$0
17000Destruction of precancer skin growth, 1 growth342268$0
11102Biopsy of related skin growth, first growth243224$0
11103Biopsy of related skin growth, each additional growth19293$0
View full utilization report →

Insurance plans in this area (ZIP 62208)

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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: 9739451956View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
Nurse PractitionerMN
D E R M A T O L O G YNM
D E R M A T O L O G YIL
Physician AssistantIL
Physician AssistantMO

Reviews

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Frequently asked questions

What identifier follows JENNIFER JEANNE JOUETT (PA-C) across health systems?
The NPI 1114259199 uniquely identifies JENNIFER JEANNE JOUETT (PA-C) in U.S. healthcare data.
Does the public listing show JENNIFER JEANNE JOUETT (PA-C) as active?
JENNIFER JEANNE JOUETT (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does JENNIFER JEANNE JOUETT (PA-C) provide?
JENNIFER JEANNE JOUETT (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JENNIFER JEANNE JOUETT (PA-C) tied to Fairview Heights, Illinois?
If you are local to Fairview Heights, Illinois, JENNIFER JEANNE JOUETT (PA-C) may be relevant to your search.
Why is information missing for JENNIFER JEANNE JOUETT (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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