JESSICA HENAUGHAN (OTR/L) – Occupational Therapist, NPI 1083320477

JESSICA HENAUGHAN (OTR/L) is a healthcare provider. based in Waverly, Iowa. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 118524 (IA). The NPI Number for JESSICA HENAUGHAN (OTR/L) is 1083320477

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA HENAUGHAN (OTR/L)
NPI
1083320477
Phone
(319) 352-1234
Address
217 E BREMER AVE
Enumeration Date
30 January 2023
Last Update Date
30 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2022 (4 years ago)
PAC ID
4284176066
Group Practice PAC ID
5890180814
Professional Enrollment ID
I20240607001968
Address ID
IA502119736NO2901XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

252 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for JESSICA HENAUGHAN (OTR/L)

  • 217 E BREMER AVE

    WAVERLY, IA 506773435

    Phone: (319) 352-1234

    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)

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: 2024-06-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240607001968IOccupational Therapist In Private PracticeIATBD

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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50677)

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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: 5890180814View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIA
Occupational Therapist In Private PracticeIA
Occupational Therapist In Private PracticeIA
Occupational Therapist In Private PracticeIA
Occupational Therapist In Private PracticeIA
Occupational Therapist In Private PracticeIA
Occupational Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Where can patients find JESSICA HENAUGHAN (OTR/L)'s NPI?
You can confirm JESSICA HENAUGHAN (OTR/L) with NPI 1083320477; it appears in the national provider directory.
Is JESSICA HENAUGHAN (OTR/L)'s NPI currently valid?
The extract we use shows JESSICA HENAUGHAN (OTR/L) as active.
Does JESSICA HENAUGHAN (OTR/L) list a primary specialty?
If you are matching referrals, note Occupational Therapist for JESSICA HENAUGHAN (OTR/L). Clinical services aligned with this taxonomy classification.
Where does public data place JESSICA HENAUGHAN (OTR/L)?
The snapshot lists Waverly, Iowa for JESSICA HENAUGHAN (OTR/L); download NPPES for the complete set.
Is JESSICA HENAUGHAN (OTR/L) a real provider?
This page reflects official NPPES data for NPI 1083320477. Always confirm identity and privileges with the practice and licensing boards.

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