JACQUELYN O'DONNELL (PA-C) – Physician Assistant, NPI 1518402767
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for JACQUELYN O'DONNELL (PA-C)
7307 Quality Cir
Anderson, IN 460132014
Phone: (317) 516-5000
Type: Location
700 3rd St Ste 101
Neptune Beach, FL 322665082
Phone: (904) 387-4991
Fax: (904) 384-3613
Type: Location
1514 Nira St
Jacksonville, FL 322078652
Phone: (904) 387-4991
Fax: (904) 384-3613
Type: Location
120 SWEETBRIAR BR
LONGWOOD, FL 327502715
Phone:
Type: Mailing
225 WATER ST STE 1500
JACKSONVILLE, FL 322025145
Phone: (904) 387-4991
Type: Mailing
1514 NIRA ST
JACKSONVILLE, FL 322078652
Phone: (904) 387-4991
Fax: (904) 384-3613
Type: Location
7910 N SHADELAND AVE
INDIANAPOLIS, IN 462502041
Phone: (317) 516-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 143 Open Payments records for all available years, with a total value of $2,835.
Total Amount is formed as General ($2,835) + Research ($0) + Ownership ($0) = $2,835.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: GENZYME CORPORATION ($669).
Total Amount
$2,835
General + Research + Ownership
Payments
143
Total payment records
General Amount
$2,835
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $669 |
| ABBVIE INC. | $643 |
| UCB, Inc. | $326 |
| Regeneron Healthcare Solutions, Inc. | $243 |
| Incyte Corporation | $174 |
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: 2026-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170307000500 | I | Physician Assistant | FL | TBD |
| I20260227000491 | 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 | 1,254 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 510 | 292 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 254 | 171 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 202 | 171 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 133 | 69 | $0 |
Insurance plans in this area (ZIP 46013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL |
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