JESSICA HARTZLER (PA) – Physician Assistant, NPI 1023649399
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for JESSICA HARTZLER (PA)
3521 NE RALPH POWELL RD
LEES SUMMIT, MO 640642337
Phone: (816) 554-8346
Fax: (816) 554-9470
Type: Mailing
2411 HOLMES ST
KANSAS CITY, MO 641082741
Phone:
Type: Mailing
25 E 12TH ST APT 1102
KANSAS CITY, MO 641062342
Phone: (816) 786-3522
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $234.
Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Nevro Corp. ($50).
Total Amount
$234
General + Research + Ownership
Payments
11
Total payment records
General Amount
$234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $50 |
| TACTILE SYSTEMS TECHNOLOGY INC | $48 |
| Medtronic, Inc. | $41 |
| E.R. Squibb & Sons, L.L.C. | $32 |
| Kerecis Limited | $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: 2023-01-09
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 |
|---|---|---|---|---|
| I20230109001814 | I | Physician Assistant | CO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 58 | $0 |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 87 | 37 | $0 |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 54 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 64064)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Vascular Surgery, Diagnostic Radiology, Interventional Radiology | NE | |
| Vascular Surgery | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| - | FL |
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