MS. JENNIFER VICTORIA MENENDEZ (PA) – Physician Assistant, NPI 1497206551

MS. JENNIFER VICTORIA MENENDEZ (PA) is a healthcare provider. based in Urbana, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085005982 (IL). The NPI Number for MS. JENNIFER VICTORIA MENENDEZ (PA) is 1497206551

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER VICTORIA MENENDEZ (PA)
NPI
1497206551
Phone
(217) 838-3311
Address
611 W PARK ST
Enumeration Date
24 October 2016
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
5991086308
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20161223000191
Address ID
IL617045402BL3024XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for MS. JENNIFER VICTORIA MENENDEZ (PA)

  • 611 W PARK ST

    URBANA, IL 618012501

    Phone: (217) 838-3311

    Fax: (217) 902-7711

    Type: Mailing

  • 8, Bandecon Way, Brittany Parc, Bloomington, McLean County, Illinois, 61704, United States

    BLOOMINGTON, IL 617048195

    Phone:

    Type: Mailing

  • East Empire Street, Bloomington, McLean County, Illinois, 61704-2534, United States

    BLOOMINGTON, IL 617045402

    Phone: (309) 556-7500

    Type: Location

  • 3024 E Empire St

    Bloomington, IL 617045402

    Phone: (309) 556-7500

    Type: Location

  • 1302 FRANKLIN AVE STE 2800

    NORMAL, IL 617616526

    Phone: (309) 268-6300

    Fax: (309) 268-6330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Abbott Laboratories ($60).

Total Amount

$89

General + Research + Ownership

Payments

2

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

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: 2016-12-23

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
I20161223000191IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes7258$0
99214Established patient office or other outpatient visit, 30-39 minutes5344$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

Can I use this page to confirm MS. JENNIFER VICTORIA MENENDEZ (PA)'s NPI?
Yes. MS. JENNIFER VICTORIA MENENDEZ (PA) is listed with NPI 1497206551 in the public NPI dataset.
Does the file indicate MS. JENNIFER VICTORIA MENENDEZ (PA) is practicing under active NPI?
Directory data currently reports MS. JENNIFER VICTORIA MENENDEZ (PA) as active.
What taxonomy line describes MS. JENNIFER VICTORIA MENENDEZ (PA)?
For research purposes, treat MS. JENNIFER VICTORIA MENENDEZ (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MS. JENNIFER VICTORIA MENENDEZ (PA) based?
MS. JENNIFER VICTORIA MENENDEZ (PA) is tied to Urbana, Illinois in the data we show; additional addresses may exist on the full record.
Why does MS. JENNIFER VICTORIA MENENDEZ (PA) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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