JENNIFER LYNNE DUTTON (PA-C) – Physician Assistant, NPI 1629524103
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for JENNIFER LYNNE DUTTON (PA-C)
1306 STATE ST
AUGUSTA, KS 670101126
Phone: (316) 775-9191
Fax: (316) 775-0348
Type: Location
1515 S CLIFTON AVE STE 205
WICHITA, KS 672182958
Phone: (316) 274-8989
Fax: (316) 221-5696
Type: Mailing
2411 HOLMES ST
KANSAS CITY, MO 641082741
Phone: (816) 235-5412
Fax: (816) 235-5187
Type: Mailing
3100, Monticello Avenue, Knox, Dallas, TX, Dallas, Dallas County, Texas, 75206, United States
210
DALLAS, TX 752053442
Phone: (214) 269-3875
Fax: (903) 328-6568
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Genentech USA, Inc. ($46).
Total Amount
$46
General + Research + Ownership
Payments
1
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $46 |
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: 2023-06-23
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 |
|---|---|---|---|---|
| I20230623000409 | I | Physician Assistant | KS | 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 67010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS |
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