JENNA BACERRA (OD) – Optometrist, NPI 1659263259

JENNA BACERRA (OD) is a healthcare provider. based in Westmont, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046.011997 (IL). The NPI Number for JENNA BACERRA (OD) is 1659263259

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNA BACERRA (OD)
NPI
1659263259
Phone
Not provided
Address
121 W 63RD ST # D205
Enumeration Date
17 July 2025
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7085990050
Graduation Year
2025 (1 year ago)
PAC ID
1759883259
Group Practice PAC ID
0143347047
Professional Enrollment ID
I20250904002970
Address ID
IL604592293BU8525XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for JENNA BACERRA (OD)

  • 121 W 63RD ST # D205

    WESTMONT, IL 605592796

    Phone:

    Type: Mailing

  • 8525 S HARLEM AVE

    BURBANK, IL 604592293

    Phone: (708) 599-0050

    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: 2025-09-04

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
I20250904002970IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60559)

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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: 0143347047View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Does JENNA BACERRA (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNA BACERRA (OD) uses 1659263259.
Is JENNA BACERRA (OD) listed as active for patients and plans?
The listing shows JENNA BACERRA (OD) as active in the NPI system.
What is JENNA BACERRA (OD) best known for clinically?
Directory data describes JENNA BACERRA (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is JENNA BACERRA (OD) based?
JENNA BACERRA (OD) is tied to Westmont, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about JENNA BACERRA (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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