JENNIFER BROOKE HALLIGAN (DPM) – Podiatrist, NPI 1033353115

JENNIFER BROOKE HALLIGAN (DPM) is a healthcare provider. based in Gladstone, Missouri. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2007029461 (MO). The NPI Number for JENNIFER BROOKE HALLIGAN (DPM) is 1033353115

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BROOKE HALLIGAN (DPM)
NPI
1033353115
Phone
(816) 453-5161
Address
2800 NE 60TH ST
Enumeration Date
21 April 2009
Last Update Date
21 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362791260
Graduation Year
2005 (21 years ago)
PAC ID
4284786047
Group Practice PAC ID
3971412677
Professional Enrollment ID
I20090709000314
Address ID
MO633762989SA1000XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

285 PODIATRY in MO

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Provider Addresses for JENNIFER BROOKE HALLIGAN (DPM)

  • 2800, Northeast 60th Street, Kendallwood Commercial Center, Gladstone, Clay County, Missouri, 64119, United States

    GLADSTONE, MO 64119

    Phone: (816) 453-5161

    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)

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: 2009-07-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090709000314IPodiatryMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64119)

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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: 3971412677View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YIL
P O D I A T R YMA
-IL
-IL
P O D I A T R YNY
P O D I A T R YMO
P O D I A T R YIL
P O D I A T R YMI

Reviews

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Frequently asked questions

Can I cross-check JENNIFER BROOKE HALLIGAN (DPM) using NPI 1033353115?
NPI 1033353115 belongs to JENNIFER BROOKE HALLIGAN (DPM); compare other details if you need extra assurance.
Is JENNIFER BROOKE HALLIGAN (DPM) still an active registrant?
JENNIFER BROOKE HALLIGAN (DPM) carries an active NPI according to the public dataset.
How would a patient describe JENNIFER BROOKE HALLIGAN (DPM)'s focus?
For JENNIFER BROOKE HALLIGAN (DPM), the primary taxonomy reads as Podiatrist. Clinical services aligned with this taxonomy classification.
Is JENNIFER BROOKE HALLIGAN (DPM) associated with Gladstone?
Public fields place JENNIFER BROOKE HALLIGAN (DPM) around Gladstone, Missouri. Always confirm the exact site before visiting.
Does JENNIFER BROOKE HALLIGAN (DPM) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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