MISS JENIFER KAY FORTNEY (PA-C) – Medical Physician Assistant, NPI 1073963351
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MISS JENIFER KAY FORTNEY (PA-C)
7950 W Jefferson Blvd
Fort Wayne, IN 468044140
Phone: (260) 435-7001
Type: Location
5650, Coventry Lane, Liberty Hills, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468047140
Phone: (217) 508-8478
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 422 Open Payments records for all available years, with a total value of $12,494.
Total Amount is formed as General ($12,494) + Research ($0) + Ownership ($0) = $12,494.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: UCB, Inc. ($4,490).
Total Amount
$12,494
General + Research + Ownership
Payments
422
Total payment records
General Amount
$12,494
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $4,490 |
| ABBVIE INC. | $1,998 |
| Janssen Biotech, Inc. | $521 |
| Sun Pharmaceutical Industries Inc. | $504 |
| Incyte Corporation | $405 |
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: 2016-09-26
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 |
|---|---|---|---|---|
| I20160926001775 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 639 | 106 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 354 | 295 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 141 | 126 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 137 | 124 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 125 | 109 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| - | IN | |
| - | IL | |
| Physician Assistant | IL | |
| Internal Medicine | IL | |
| Hospitalist, Family Practice, Family Practice | VA | |
| Internal Medicine | IN | |
| Internal Medicine | OH | |
| Internal Medicine | IN | |
| - | IN |
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