MS. JENNIFER LYNN KNODE (PAC) – Medical Physician Assistant, NPI 1245237684

MS. JENNIFER LYNN KNODE (PAC) is a healthcare provider. based in Waldorf, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. C0001763 (MD). The NPI Number for MS. JENNIFER LYNN KNODE (PAC) is 1245237684

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER LYNN KNODE (PAC)
NPI
1245237684
Phone
(301) 870-0660
Address
12070 OLD LINE CTR
Enumeration Date
30 June 2005
Last Update Date
24 October 2012

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3018848171
Graduation Year
1996 (30 years ago)
PAC ID
5698890168
Group Practice PAC ID
8426556267
Professional Enrollment ID
I20100921000797
Address ID
MD206223042CH29449RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,365 PHYSICIAN ASSISTANT in MD

Provider Addresses for MS. JENNIFER LYNN KNODE (PAC)

  • 12070 OLD LINE CTR

    STE 207

    WALDORF, MD 206022567

    Phone: (301) 870-0660

    Fax: (301) 932-8310

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-10-30

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
I20100921000797IPhysician AssistantMDTBD
I20141030001145IPhysician AssistantDCTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes97093$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes695153$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes17366$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes14167$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit136136$0
View full utilization report →

Insurance plans in this area (ZIP 20602)

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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: 8426556267View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerNY
Nurse PractitionerMD
Internal Medicine, HospitalistNY
Internal MedicineMD
Internal MedicinePA
Nurse PractitionerMD
Internal MedicineNC
Nurse PractitionerMD
Physician AssistantNM

Reviews

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Frequently asked questions

How do I look up MS. JENNIFER LYNN KNODE (PAC) by NPI?
Use NPI 1245237684 when you need to reference MS. JENNIFER LYNN KNODE (PAC) in forms, claims, or directories.
Is MS. JENNIFER LYNN KNODE (PAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MS. JENNIFER LYNN KNODE (PAC)'s specialty in plain language?
Clinically, the directory lists MS. JENNIFER LYNN KNODE (PAC) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MS. JENNIFER LYNN KNODE (PAC)'s primary listing?
We display Waldorf, Maryland because that is what the record indicates for MS. JENNIFER LYNN KNODE (PAC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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