MRS. JENNIFER R ELLIS (PA) – Medical Physician Assistant, NPI 1255470431
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MRS. JENNIFER R ELLIS (PA)
PO BOX 4543
CAROL STREAM, IL 601974543
Phone: (847) 492-3040
Fax: (847) 492-3045
Type: Mailing
5230 OLD ORCHARD RD
SKOKIE, IL 600771034
Phone: (800) 807-8787
Fax: (847) 492-3045
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 123 Open Payments records for all available years, with a total value of $4,666.
Total Amount is formed as General ($4,666) + Research ($0) + Ownership ($0) = $4,666.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: PFIZER INC. ($1,810).
Total Amount
$4,666
General + Research + Ownership
Payments
123
Total payment records
General Amount
$4,666
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $1,810 |
| AstraZeneca Pharmaceuticals LP | $459 |
| GlaxoSmithKline, LLC. | $264 |
| Lilly USA, LLC | $235 |
| Gilead Sciences, Inc. | $150 |
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: 2005-08-15
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 |
|---|---|---|---|---|
| I20050815000269 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 136 | 36 | $0 |
Insurance plans in this area (ZIP 60197)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Registered Dietitian Or Nutrition Professional | IL | |
| Registered Dietitian Or Nutrition Professional | IL | |
| Internal Medicine, Hematology/Oncology | IL | |
| - | IL | |
| Medical Oncology | IL |
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