JENNIFER M WILLIFORD (P.A.-C.) – Medical Physician Assistant, NPI 1508875477

JENNIFER M WILLIFORD (P.A.-C.) is a healthcare provider. based in Portage, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C.. They hold a License No. 5601003753 (MI). The NPI Number for JENNIFER M WILLIFORD (P.A.-C.) is 1508875477

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER M WILLIFORD (P.A.-C.)
NPI
1508875477
Phone
(269) 321-7546
Address
3000 OLD CENTRE RD
Enumeration Date
7 August 2006
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375340154
Graduation Year
2001 (25 years ago)
PAC ID
2365427317
Group Practice PAC ID
0244603512
Professional Enrollment ID
I20040623000206
Address ID
MI490159354BA3480XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for JENNIFER M WILLIFORD (P.A.-C.)

  • 3000, Old Centre Road, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490244883

    Phone: (269) 321-7546

    Fax: (269) 321-1705

    Type: Mailing

  • 3480 CAPITAL AVE SW

    BATTLE CREEK, MI 490159354

    Phone: (269) 224-6554

    Fax: (586) 371-6346

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 108 Open Payments records for all available years, with a total value of $2,732.

Total Amount is formed as General ($2,732) + Research ($0) + Ownership ($0) = $2,732.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($593).

Total Amount

$2,732

General + Research + Ownership

Payments

108

Total payment records

General Amount

$2,732

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2004-06-23

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
I20040623000206IPhysician AssistantMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes448362$0
17003Destruction of precancer skin growth, 2-14 growths24968$0
17110Destruction of skin growth, 1-14 growths179150$0
17000Destruction of precancer skin growth, 1 growth149106$0
99214Established patient office or other outpatient visit, 30-39 minutes9484$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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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: 0244603512View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Dermatology, Internal MedicineMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I cross-check JENNIFER M WILLIFORD (P.A.-C.) using NPI 1508875477?
NPI 1508875477 belongs to JENNIFER M WILLIFORD (P.A.-C.); compare other details if you need extra assurance.
Is JENNIFER M WILLIFORD (P.A.-C.) still an active registrant?
JENNIFER M WILLIFORD (P.A.-C.) carries an active NPI according to the public dataset.
How would a patient describe JENNIFER M WILLIFORD (P.A.-C.)'s focus?
For JENNIFER M WILLIFORD (P.A.-C.), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Michigan is JENNIFER M WILLIFORD (P.A.-C.) registered?
Use Portage, Michigan as the headline location for JENNIFER M WILLIFORD (P.A.-C.) here.
Can I trust this NPI listing for JENNIFER M WILLIFORD (P.A.-C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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