JENNA RACINE (M.D.) – Obstetrics & Gynecology Physician, NPI 1225449291
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,735 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for JENNA RACINE (M.D.)
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 481095000
Phone: (734) 936-4000
Type: Location
202 S Park St
Madison, WI 537151507
Phone: (608) 417-6667
Fax: (608) 417-6364
Type: Location
263 FARMINGTON AVE
FARMINGTON, CT 060302947
Phone: (906) 361-0471
Type: Mailing
600 HIGHLAND AVE
MADISON, WI 537920001
Phone: (906) 361-0471
Type: Location
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
202 S PARK ST
MADISON, WI 537151507
Phone: (608) 417-6667
Fax: (608) 417-6364
Type: Location
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: 2026-01-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20210629002498 | I | Obstetrics/Gynecology | WI | TBD |
| I20230721002101 | I | Obstetrics/Gynecology | MI | TBD |
| I20251124004351 | I | Obstetrics/Gynecology | IN | TBD |
| I20260102000976 | I | Obstetrics/Gynecology | MO | 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 48108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Pulmonary Disease | MI | |
| H O S P I T A L I S T | MI | |
| Physician Assistant | MI | |
| Thoracic Surgery | IL | |
| Nurse Practitioner | MI | |
| - | MI | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI |
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