JILL K BUNDY (PA-C) – Physician Assistant, NPI 1821335654
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JILL K BUNDY (PA-C)
1021 NEBRASKA ST
SIOUX CITY, IA 511051436
Phone: (712) 252-2477
Fax: (712) 252-5920
Type: Location
3410 FUTURES DR
SOUTH SIOUX CITY, NE 687763917
Phone: (402) 412-7242
Fax: (712) 252-5920
Type: Location
1021 Nebraska St
Sioux City, IA 511051436
Phone: (712) 252-2477
Fax: (712) 252-5920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($85).
Total Amount
$173
General + Research + Ownership
Payments
11
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-05-08
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 |
|---|---|---|---|---|
| I20160311000699 | I | Physician Assistant | IA | TBD |
| I20190508001745 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 30 | 22 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 27 | 21 | $0 |
| 83036 | Hemoglobin a1c level | 24 | 13 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 20 | 18 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 19 | 17 | $0 |
Insurance plans in this area (ZIP 51105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| - | IA | |
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| - | NE | |
| Clinical Social Worker | IA | |
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| - | IA |
Reviews
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