MRS. JENNIFER H DAVISSON (PA-C) – Physician Assistant, NPI 1114024668
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
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Provider Addresses for MRS. JENNIFER H DAVISSON (PA-C)
West 109th Street, Overland Park, Johnson County, Kansas, 66210, United States
SUITE 116
OVERLAND PARK, KS 662111313
Phone: (913) 469-1115
Fax: (913) 469-9446
Type: Location
1010 CARONDELET DRIVE
SUITE 125
KANSAS CITY, MO 641142846
Phone: (816) 942-1150
Fax: (816) 942-0322
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 739 Open Payments records for all available years, with a total value of $201,055.
Total Amount is formed as General ($201,055) + Research ($0) + Ownership ($0) = $201,055.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($104,672).
Total Amount
$201,055
General + Research + Ownership
Payments
739
Total payment records
General Amount
$201,055
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $104,672 |
| Arcutis Biotherapeutics, Inc. | $57,767 |
| Incyte Corporation | $16,699 |
| Almirall LLC | $6,013 |
| VERRICA PHARMACEUTICALS INC. | $4,049 |
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: 2004-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041207001009 | I | Physician Assistant | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| - | KS | |
| D E R M A T O L O G Y | MO | |
| Nurse Practitioner | MO |
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