JENNIFER L. COUNCELLER (NP) – Family Nurse Practitioner, NPI 1750752853
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for JENNIFER L. COUNCELLER (NP)
1100 REID PKWY
MEDICAL STAFF SERVICES
RICHMOND, IN 473741157
Phone: (765) 825-8446
Fax: (765) 827-0013
Type: Mailing
1473 E STATE ROAD 44
WHITEWATER VALLEY PRIMARY CARE
CONNERSVILLE, IN 473318374
Phone: (765) 825-8446
Fax: (765) 827-0013
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $398.
Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: ABBVIE INC. ($155).
Total Amount
$398
General + Research + Ownership
Payments
21
Total payment records
General Amount
$398
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $155 |
| PFIZER INC. | $45 |
| Otsuka America Pharmaceutical, Inc. | $34 |
| Corium, LLC | $31 |
| Novo Nordisk Inc | $29 |
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: 2015-10-20
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 |
|---|---|---|---|---|
| I20151020000803 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 473 | 218 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 117 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 85 | $0 |
| 83036 | Hemoglobin a1c level | 54 | 40 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 47374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OH | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Family Practice | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery | NC |
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