JENNA M JACKSON (PA) – Physician Assistant, NPI 1437771888
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JENNA M JACKSON (PA)
PO BOX 546
GLEN CARBON, IL 620340546
Phone: (618) 660-6595
Type: Mailing
46 S MAIN ST
GLEN CARBON, IL 620341415
Phone: (618) 660-6595
Type: Location
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-5583
Fax: (573) 331-5079
Type: Mailing
3250 GORDONVILLE RD STE 358
CAPE GIRARDEAU, MO 637035095
Phone: (573) 331-3155
Fax: (573) 331-5096
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: 2022-01-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20211201001277 | I | Physician Assistant | MO | TBD |
| I20220111002398 | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 142 | 135 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 90 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 62034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| General Surgery | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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