JERI D. STEPHENSON (P.A.C.) – Physician Assistant, NPI 1154348845

JERI D. STEPHENSON (P.A.C.) is a healthcare provider. based in Atchison, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.C.. They hold a License No. 1500590 (KS). The NPI Number for JERI D. STEPHENSON (P.A.C.) is 1154348845

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JERI D. STEPHENSON (P.A.C.)
NPI
1154348845
Phone
(913) 367-1623
Address
820 RAVEN HILL DRIVE
Enumeration Date
17 July 2006
Last Update Date
19 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9136513111
Graduation Year
1997 (29 years ago)
PAC ID
1355248634
Group Practice PAC ID
6406884436
Professional Enrollment ID
I20031215000925
Address ID
KS660436323LA1004XDRXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for JERI D. STEPHENSON (P.A.C.)

  • 820 RAVEN HILL DRIVE

    ATCHISON, KS 660029230

    Phone: (913) 367-1623

    Fax: (913) 367-7297

    Type: Mailing

  • 810 RAVENHILL DR

    ATCHISON, KS 660029204

    Phone: (913) 367-0880

    Fax: (913) 367-2030

    Type: Location

  • 1004 PROGRESS DR STE 200

    LANSING, KS 660436323

    Phone: (913) 651-3111

    Fax: (913) 651-3103

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $823.

Total Amount is formed as General ($823) + Research ($0) + Ownership ($0) = $823.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($203).

Total Amount

$823

General + Research + Ownership

Payments

44

Total payment records

General Amount

$823

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2003-12-15

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
I20031215000925IPhysician AssistantKSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes284188$0
99214Established patient office or other outpatient visit, 30-39 minutes195143$0
81002Urinalysis, manual test5843$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected3535$0
90662Influenza vaccine split virus, preservative free3333$0
View full utilization report →

Insurance plans in this area (ZIP 66002)

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Provider's Procedures

JERI D. STEPHENSON (P.A.C.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTKS81002Urinalysis, manual test7351
PHYSICIAN ASSISTANTKS85610Blood test, clotting time1813
PHYSICIAN ASSISTANTKS90670Pneumococcal vaccine for injection into muscle4141

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: 6406884436View full group profile
NameSpecialtyState
Family PracticeKS
Nurse PractitionerKS
Family PracticeKS

Reviews

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Frequently asked questions

How is JERI D. STEPHENSON (P.A.C.) identified in CMS data?
CMS-hosted NPPES data lists JERI D. STEPHENSON (P.A.C.) with NPI 1154348845.
Can I rely on JERI D. STEPHENSON (P.A.C.) being an active provider?
As of the registry snapshot, JERI D. STEPHENSON (P.A.C.) is marked active.
What healthcare role does JERI D. STEPHENSON (P.A.C.) hold?
Scheduling teams often label JERI D. STEPHENSON (P.A.C.) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JERI D. STEPHENSON (P.A.C.) based?
JERI D. STEPHENSON (P.A.C.) is tied to Atchison, Kansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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