JENNIFER BRYANT – Nurse Practitioner, NPI 1043729189

JENNIFER BRYANT is a healthcare provider. based in Troy, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2021034486 (MO). The NPI Number for JENNIFER BRYANT is 1043729189

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BRYANT
NPI
1043729189
Phone
(636) 528-1919
Address
1165 E CHERRY ST
Enumeration Date
20 September 2017
Last Update Date
11 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6365287722
Graduation Year
2017 (9 years ago)
PAC ID
7113293945
Group Practice PAC ID
5193040020
Professional Enrollment ID
I20220316003331
Address ID
MO633791520TR1165XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for JENNIFER BRYANT

  • 1165 E CHERRY ST

    TROY, MO 633791520

    Phone: (636) 528-1919

    Type: Location

  • Network Centre Drive, Effingham, Effingham County, Illinois, 62401, United States

    EFFINGHAM, IL 624014632

    Phone:

    Type: Mailing

  • 1000, Red Ball Trail, Greenville, Bond County, Illinois, 62246, United States

    GREENVILLE, IL 622462781

    Phone: (618) 664-1240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Novo Nordisk Inc ($42).

Total Amount

$129

General + Research + Ownership

Payments

7

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2022-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171024000817INurse PractitionerILTBD
I20220316003331INurse PractitionerMOTBD

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 63379)

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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: 5193040020View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineMO
Emergency MedicineMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Emergency Medicine, Family PracticeMO

Reviews

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Frequently asked questions

What NPI should I save for JENNIFER BRYANT?
Save NPI 1043729189 if you need a stable reference for JENNIFER BRYANT.
Is JENNIFER BRYANT active in the national directory?
JENNIFER BRYANT's public NPI profile is in an active state.
What does JENNIFER BRYANT treat or focus on?
Patients typically see JENNIFER BRYANT under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER BRYANT?
The page summarizes Troy, Missouri for JENNIFER BRYANT; expand the address list for detail.
How can I contact JENNIFER BRYANT?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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