JENNA PANNEBECKER (PAC) – Physician Assistant, NPI 1114799319
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for JENNA PANNEBECKER (PAC)
43740 Garfield Rd
Clinton Township, MI 480381122
Phone: (586) 349-1154
Fax: (586) 228-9019
Type: Location
43740 GARFIELD RD
CLINTON TOWNSHIP, MI 480381122
Phone: (586) 349-1154
Type: Mailing
26672 VAN DYKE AVE
CENTER LINE, MI 480151222
Phone: (586) 756-7670
Fax: (586) 228-9019
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $338.
Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($90).
Total Amount
$338
General + Research + Ownership
Payments
15
Total payment records
General Amount
$338
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $90 |
| UCB, Inc. | $80 |
| Janssen Biotech, Inc. | $77 |
| Lilly USA, LLC | $53 |
| E.R. Squibb & Sons, L.L.C. | $22 |
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: 2023-11-29
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 |
|---|---|---|---|---|
| I20231129000231 | I | Physician Assistant | MI | 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 48038)
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