JENNIFER T KILLIPS (NP) – Family Nurse Practitioner, NPI 1104399278

JENNIFER T KILLIPS (NP) is a healthcare provider. based in Springfield, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2306267 (MA). The NPI Number for JENNIFER T KILLIPS (NP) is 1104399278

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER T KILLIPS (NP)
NPI
1104399278
Phone
(413) 304-2501
Address
819 WORCESTER ST STE 1
Enumeration Date
10 January 2019
Last Update Date
5 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4133740031
Graduation Year
2018 (8 years ago)
PAC ID
4688914435
Group Practice PAC ID
7315483583
Professional Enrollment ID
I20190314001239
Address ID
MA010282772EA50XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JENNIFER T KILLIPS (NP)

  • 819 WORCESTER ST STE 1

    SPRINGFIELD, MA 011511045

    Phone: (413) 304-2501

    Fax: (413) 789-0290

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($36).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

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: 2019-03-14

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
I20190314001239INurse PractitionerMATBD

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 minutes1,018222$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes208127$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes12188$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes6149$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
View full utilization report →

Insurance plans in this area (ZIP 01151)

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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: 7315483583View full group profile
NameSpecialtyState
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER T KILLIPS (NP) for billing?
Administrative and clinical systems typically use NPI 1104399278 for JENNIFER T KILLIPS (NP).
Does the public listing show JENNIFER T KILLIPS (NP) as active?
JENNIFER T KILLIPS (NP)'s NPI record reflects an active status in NPPES.
What does the directory say JENNIFER T KILLIPS (NP) does?
Insurance directories may phrase it differently, but here JENNIFER T KILLIPS (NP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER T KILLIPS (NP) in Springfield, Massachusetts?
For routing, start with Springfield, Massachusetts for JENNIFER T KILLIPS (NP), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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