DR. JENNIFER MELISSA POWELL (MD) – Family Medicine Physician, NPI 1124131966
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for DR. JENNIFER MELISSA POWELL (MD)
3600 W Fullerton Ave
Chicago, IL 606472319
Phone: (773) 782-2800
Fax: (773) 782-5042
Type: Location
3761 N STATE ROUTE 1 17
MOMENCE, IL 609542400
Phone: (815) 472-3923
Fax: (815) 472-2816
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 112 Open Payments records for all available years, with a total value of $2,092.
Total Amount is formed as General ($2,092) + Research ($0) + Ownership ($0) = $2,092.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($494).
Total Amount
$2,092
General + Research + Ownership
Payments
112
Total payment records
General Amount
$2,092
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $494 |
| AstraZeneca Pharmaceuticals LP | $426 |
| Otsuka America Pharmaceutical, Inc. | $185 |
| PFIZER INC. | $124 |
| Exact Sciences Corporation | $123 |
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: 2013-04-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130419000372 | I | Family Practice | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 230 | 128 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 81 | 81 | $0 |
| G0008 | Administration of influenza virus vaccine | 52 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 43 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 45 | 43 | $0 |
Insurance plans in this area (ZIP 60647)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| N E U R O L O G Y | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| N E U R O L O G Y | NY | |
| Clinical Social Worker | IL |
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