MRS. JENNIFER L WILLISON (PA) – Physician Assistant, NPI 1285214742
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MRS. JENNIFER L WILLISON (PA)
160 Plainfield Village Dr Ste 101
Plainfield, IN 461682782
Phone: (463) 888-0118
Fax: (317) 520-8200
Type: Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 462686135
Phone: (855) 324-0885
Fax: (317) 520-8200
Type: Mailing
160 PLAINFIELD VILLAGE DR STE 101
PLAINFIELD, IN 461682782
Phone: (463) 888-0118
Fax: (317) 520-8200
Type: Location
185 SAFFRON DR
SUNBURY, OH 430742508
Phone: (812) 821-6511
Type: Mailing
272 HOSPITAL RD
CHILLICOTHE, OH 456019031
Phone: (740) 779-7500
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: 2024-11-06
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 |
|---|---|---|---|---|
| I20241106002184 | I | Physician Assistant | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46168)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Physician Assistant | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Family Practice | OH | |
| Thoracic Surgery | OH | |
| Gastroenterology, Internal Medicine | OH | |
| Physician Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
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