JENNIFER CRYSTAL BIESIADECKI (DO) – Family Medicine Physician, NPI 1902366412
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for JENNIFER CRYSTAL BIESIADECKI (DO)
Douglas Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States
MISHAWAKA, IN 465451468
Phone: (574) 335-6500
Type: Location
611 E Douglas Rd Ste 407
Mishawaka, IN 465451468
Phone: (574) 335-6500
Type: Location
1037 DES PLAINES AVE APT 507
FOREST PARK, IL 601302152
Phone: (815) 508-9320
Type: Mailing
540 HOSPITAL DR
WINAMAC, IN 469961173
Phone: (574) 946-2194
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: 2022-07-29
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 |
|---|---|---|---|---|
| I20220729000418 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 15 | $0 |
Insurance plans in this area (ZIP 46545)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Obstetrics/Gynecology | IN | |
| Clinical Social Worker | IN | |
| O P H T H A L M O L O G Y | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Emergency Medicine, General Surgery | MI | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | IN | |
| - | IN |
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