JENNA LEIGH DISMORE WRINKLES (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1780909952

JENNA LEIGH DISMORE WRINKLES (M.D.) is a healthcare provider. based in Belfast, Maine. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01075865A (IN). The NPI Number for JENNA LEIGH DISMORE WRINKLES (M.D.) is 1780909952

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNA LEIGH DISMORE WRINKLES (M.D.)
NPI
1780909952
Phone
(502) 907-0356
Address
PO BOX 21890
Enumeration Date
31 March 2010
Last Update Date
9 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8129627890
Graduation Year
2010 (16 years ago)
PAC ID
1951618768
Group Practice PAC ID
0941441919
Professional Enrollment ID
I20150915001251
Address ID
IN475911038VI520XXSTXX407

Contacts

Secure Messaging
jenna.dismore.wrinkles.1@16521.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

138 PAIN MANAGEMENT in KY

Provider Addresses for JENNA LEIGH DISMORE WRINKLES (M.D.)

  • PO BOX 21890

    BELFAST, ME 049154115

    Phone: (502) 907-0356

    Fax: (502) 919-9780

    Type: Mailing

  • 1107 CROWN POINTE DR STE 107

    ELIZABETHTOWN, KY 427017280

    Phone: (270) 506-3300

    Fax: (270) 506-2843

    Type: Location

  • 3602 Northgate Ct Ste 39

    New Albany, IN 471506417

    Phone: (812) 670-5684

    Fax: (812) 941-0814

    Type: Location

  • 120 Executive Park

    Louisville, KY 402074201

    Phone: (502) 855-7200

    Fax: (502) 855-7201

    Type: Location

  • 120 EXECUTIVE PARK

    LOUISVILLE, KY 402074201

    Phone: (502) 409-9925

    Fax: (502) 919-9780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,970.

Total Amount is formed as General ($1,970) + Research ($0) + Ownership ($0) = $1,970.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boston Scientific Corporation ($1,037).

Total Amount

$1,970

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,970

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2015-09-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150910002736IPain ManagementKYTBD
I20150915001251IPain ManagementINTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg5,052225$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,706246$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,186212$0
99214Established patient office or other outpatient visit, 30-39 minutes858706$0
99213Established patient office or other outpatient visit, 20-29 minutes848698$0
View full utilization report →

Insurance plans in this area (ZIP 04915)

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Provider's Procedures

JENNA LEIGH DISMORE WRINKLES (M.D.) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PAIN MANAGEMENTKY62311Injections of substances into lower or sacral spine17491
PAIN MANAGEMENTKY81002Urinalysis, manual test249215

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: 0941441919View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Anesthesiology, Pain ManagementTN
Nurse PractitionerIN
Nurse PractitionerSC
Nurse PractitionerKY
Pain ManagementIN
Nurse PractitionerKY
Nurse PractitionerKY
-KY

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Frequently asked questions

What identifier follows JENNA LEIGH DISMORE WRINKLES (M.D.) across health systems?
The NPI 1780909952 uniquely identifies JENNA LEIGH DISMORE WRINKLES (M.D.) in U.S. healthcare data.
Should I treat JENNA LEIGH DISMORE WRINKLES (M.D.) as an active provider?
Patients and plans typically see JENNA LEIGH DISMORE WRINKLES (M.D.) as active in the national extract.
Which specialty label fits JENNA LEIGH DISMORE WRINKLES (M.D.)?
NPPES ties JENNA LEIGH DISMORE WRINKLES (M.D.) to Pain Medicine (Anesthesiology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JENNA LEIGH DISMORE WRINKLES (M.D.)?
The directory associates JENNA LEIGH DISMORE WRINKLES (M.D.) with Belfast, Maine. Check all listed addresses for suites or satellite offices.
Who maintains JENNA LEIGH DISMORE WRINKLES (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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