JACOB DARRELL JENSEN (D.O.) – Emergency Medicine Physician, NPI 1215292669
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for JACOB DARRELL JENSEN (D.O.)
Osf St Francis Medical Ctr
530 NE Glen Oak Ave, SFNB 2624
Peoria, IL 616370001
Phone: (309) 655-6710
Fax: (309) 624-9887
Type: Location
1224 8th St
Rupert, ID 833501599
Phone: (208) 436-0481
Fax: (208) 436-6038
Type: Location
UNMMG
933 BRADBURY SE, SUITE 2222
ALBUQUERQUE, NM 87106
Phone: (505) 272-3120
Fax: (505) 272-8060
Type: Mailing
UNM DEPARTMENT OF EMERGENCY MEDICINE-MSC11 6025
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 871310001
Phone: (505) 272-5062
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: 2020-01-17
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 |
|---|---|---|---|---|
| I20200117001750 | I | Emergency Medicine | ID | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 143 | 133 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 94 | 94 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 51 | 47 | $0 |
Insurance plans in this area (ZIP 61637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Emergency Medicine | ID | |
| Emergency Medicine | IN | |
| Emergency Medicine | ID | |
| - | TX | |
| Internal Medicine | ID | |
| Radiation Oncology | UT | |
| Hematology/Oncology, Internal Medicine, Medical Oncology, Hematology/Oncology | UT | |
| H E M A T O L O G Y/ O N C O L O G Y | AL |
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