MRS. JENNIFER ELAINE RADABAUGH (N.P.) – Nurse Practitioner, NPI 1114019924

MRS. JENNIFER ELAINE RADABAUGH (N.P.) is a healthcare provider. based in Bloomington, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 28149139A (IN). The NPI Number for MRS. JENNIFER ELAINE RADABAUGH (N.P.) is 1114019924

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER ELAINE RADABAUGH (N.P.)
NPI
1114019924
Phone
(812) 334-5081
Address
707 W 2nd St
Enumeration Date
29 September 2006
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3176218000
Graduation Year
2006 (20 years ago)
PAC ID
3870681968
Group Practice PAC ID
9931697265
Professional Enrollment ID
I20071217000828
Address ID
IN462502693IN8075XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MRS. JENNIFER ELAINE RADABAUGH (N.P.)

  • 707 W 2nd St

    Bloomington, IN 474032209

    Phone: (812) 334-5081

    Fax: (812) 339-8344

    Type: Location

  • Hocker & Associates, 6626, East 75th Street, Indianapolis, Indiana, 46250, United States

    SUITE 500

    INDIANAPOLIS, IN 462502805

    Phone:

    Type: Mailing

  • Community Heart and Vascular Hospital, 8075, North Shadeland Avenue, Castleton, Indianapolis, Indiana, 46250, United States

    SUITE 200

    INDIANAPOLIS, IN 46250

    Phone: (317) 621-8500

    Fax: (317) 621-8501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Getinge USA Sales, LLC ($58).

Total Amount

$191

General + Research + Ownership

Payments

8

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

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: 2007-12-17

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
I20071217000828INurse PractitionerINTBD

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
33508Harvest of vein using an endoscope1818$0
33533Coronary artery bypass using artery graft, 1 graft1818$0
33268Exclusion of appendage of left upper chamber of heart performed during other procedure on chest1414$0
33518Coronary artery bypass using vein or artery graft, 2 grafts1313$0
View full utilization report →

Insurance plans in this area (ZIP 47403)

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Provider's Procedures

MRS. JENNIFER ELAINE RADABAUGH (N.P.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIN33533Heart artery bypass to repair one artery2727

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: 9931697265View full group profile
NameSpecialtyState
Cardiac ElectrophysiologyNV
Medical Oncology, HematologyIN
Medical Oncology, HematologyIN
Nurse PractitionerIN
Medical Oncology, Hematology, Internal MedicineIN
Nurse PractitionerIN
Colorectal Surgery (Proctology)IN
Nurse PractitionerIN
Nurse PractitionerIN
Medical Oncology, General SurgeryLA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. JENNIFER ELAINE RADABAUGH (N.P.)'s NPI?
Yes. MRS. JENNIFER ELAINE RADABAUGH (N.P.) is listed with NPI 1114019924 in the public NPI dataset.
Can I rely on MRS. JENNIFER ELAINE RADABAUGH (N.P.) being an active provider?
As of the registry snapshot, MRS. JENNIFER ELAINE RADABAUGH (N.P.) is marked active.
What healthcare role does MRS. JENNIFER ELAINE RADABAUGH (N.P.) hold?
Scheduling teams often label MRS. JENNIFER ELAINE RADABAUGH (N.P.) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. JENNIFER ELAINE RADABAUGH (N.P.) list a practice location?
Patients near Bloomington, Indiana may find MRS. JENNIFER ELAINE RADABAUGH (N.P.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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