DR. WHITNEY ANN JENSEN (OD) – Optometrist, NPI 1053673822

DR. WHITNEY ANN JENSEN (OD) is a healthcare provider. based in Grinnell, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 002545 (IA). The NPI Number for DR. WHITNEY ANN JENSEN (OD) is 1053673822

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. WHITNEY ANN JENSEN (OD)
NPI
1053673822
Phone
(641) 236-7502
Address
935 BROAD ST
Enumeration Date
7 June 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6412367502
Graduation Year
2012 (14 years ago)
PAC ID
4587814850
Group Practice PAC ID
3072403609
Professional Enrollment ID
I20121022000744
Address ID
IA501122047GR935XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for DR. WHITNEY ANN JENSEN (OD)

  • 935 BROAD ST

    GRINNELL, IA 501122047

    Phone: (641) 236-7502

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: CooperVision Inc. ($91).

Total Amount

$105

General + Research + Ownership

Payments

6

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (957 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20121022000744IOptometryIA2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
92014Established patient complete exam of visual system265264$0
92250Photography of the retina167157$0
99213Established patient office or other outpatient visit, 20-29 minutes7951$0
66984Removal of cataract with insertion of prosthetic lens4127$0
92133Imaging of optic nerve1614$0
View full utilization report →

Insurance plans in this area (ZIP 50112)

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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: 3072403609View full group profile
NameSpecialtyState
O P T O M E T R YIA
-IA

Reviews

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Frequently asked questions

What is DR. WHITNEY ANN JENSEN (OD)'s NPI number?
DR. WHITNEY ANN JENSEN (OD)'s NPI is 1053673822 — the number used across U.S. healthcare to identify this provider.
Is DR. WHITNEY ANN JENSEN (OD) still an active registrant?
DR. WHITNEY ANN JENSEN (OD) carries an active NPI according to the public dataset.
How would a patient describe DR. WHITNEY ANN JENSEN (OD)'s focus?
For DR. WHITNEY ANN JENSEN (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. WHITNEY ANN JENSEN (OD) associated with Grinnell?
Public fields place DR. WHITNEY ANN JENSEN (OD) around Grinnell, Iowa. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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