JEANNE L HABASH (PA-C) – Physician Assistant, NPI 1376593947

JEANNE L HABASH (PA-C) is a healthcare provider. based in Great bend, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1500593 (KS). The NPI Number for JEANNE L HABASH (PA-C) is 1376593947

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JEANNE L HABASH (PA-C)
NPI
1376593947
Phone
(620) 786-6475
Address
PO BOX 310
Enumeration Date
12 May 2006
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6207925700
Graduation Year
1997 (29 years ago)
PAC ID
7810965654
Group Practice PAC ID
4486565181
Professional Enrollment ID
I20040920001199
Address ID
KS675302502GR1905XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for JEANNE L HABASH (PA-C)

  • PO BOX 310

    GREAT BEND, KS 675300310

    Phone: (620) 786-6475

    Fax: (620) 786-6155

    Type: Mailing

  • St. Rose Health Center, 3515, Broadway Avenue, Great Bend, Barton County, Kansas, 67530, United States

    SUITE 107

    GREAT BEND, KS 675303633

    Phone: (620) 793-8429

    Fax: (620) 793-6014

    Type: Location

  • 1905 19TH ST

    GREAT BEND, KS 675302502

    Phone: (620) 792-5700

    Fax: (855) 463-0851

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $297.

Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($49).

Total Amount

$297

General + Research + Ownership

Payments

18

Total payment records

General Amount

$297

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

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: 2004-09-20

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
I20040920001199IPhysician 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
80053Blood test, comprehensive group of blood chemicals346149$0
83036Hemoglobin a1c level16265$0
81002Urinalysis, manual test15078$0
82043Urine microalbumin (protein) level7343$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2321$0
View full utilization report →

Insurance plans in this area (ZIP 67530)

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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: 4486565181View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Nurse PractitionerKS
General PracticeTN
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
Clinical Social WorkerKS
Nurse PractitionerKS
Clinical Social WorkerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How is JEANNE L HABASH (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JEANNE L HABASH (PA-C) with NPI 1376593947.
Can I rely on JEANNE L HABASH (PA-C) being an active provider?
As of the registry snapshot, JEANNE L HABASH (PA-C) is marked active.
What is JEANNE L HABASH (PA-C) best known for clinically?
Directory data describes JEANNE L HABASH (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect JEANNE L HABASH (PA-C) on a map?
Expect Great Bend, Kansas as a primary anchor for JEANNE L HABASH (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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