MRS. JENNIFER LYNN BREMER (P.A.) – Physician Assistant, NPI 1053638577

MRS. JENNIFER LYNN BREMER (P.A.) is a healthcare provider. based in Rolla, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 2010009851 (MO). The NPI Number for MRS. JENNIFER LYNN BREMER (P.A.) is 1053638577

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER LYNN BREMER (P.A.)
NPI
1053638577
Phone
(573) 364-8822
Address
600 Blues Lake Pkwy
Enumeration Date
23 April 2010
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737742715
Graduation Year
2009 (17 years ago)
PAC ID
0648302414
Group Practice PAC ID
1557454063
Professional Enrollment ID
I20100714000113
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MRS. JENNIFER LYNN BREMER (P.A.)

  • 600 Blues Lake Pkwy

    Rolla, MO 654018022

    Phone: (573) 364-8822

    Fax: (573) 341-5969

    Type: Location

  • 1000 Gw Ln

    Waynesville, MO 655832339

    Phone: (573) 774-2715

    Type: Location

  • 600 BLUES LAKE PKWY

    ROLLA, MO 654018022

    Phone: (573) 458-8711

    Fax: (573) 341-5969

    Type: Mailing

  • 1050 W 10TH ST

    ROLLA, MO 654012905

    Phone: (573) 364-5719

    Fax: (573) 202-2402

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($160).

Total Amount

$428

General + Research + Ownership

Payments

29

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-07-14

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
I20100714000113IPhysician AssistantMOTBD

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
69210Removal of impacted ear wax115110$0
95165Professional service for preparation and provision of 1 or more antigens9511$0
99213Established patient office or other outpatient visit, 20-29 minutes9589$0
95117Professional service for multiple injections of allergen3725$0
95115Professional service for single injection of allergen3019$0
View full utilization report →

Insurance plans in this area (ZIP 65401)

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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: 1557454063View full group profile
NameSpecialtyState
-MO
-MO
Radiation OncologyMO
Otolaryngology, Plastic And Reconstructive Surgery, Allergy/ImmunologyMO
-MO
Nephrology, Internal Medicine, HospitalistMO
-MO
Nurse PractitionerMO
Certified Nurse Midwife (Cnm)MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for MRS. JENNIFER LYNN BREMER (P.A.) in U.S. healthcare records?
The official identifier for MRS. JENNIFER LYNN BREMER (P.A.) is NPI 1053638577.
Is MRS. JENNIFER LYNN BREMER (P.A.) shown as active in public data?
Registry records indicate MRS. JENNIFER LYNN BREMER (P.A.) maintains an active NPI.
What area of care is associated with MRS. JENNIFER LYNN BREMER (P.A.)?
MRS. JENNIFER LYNN BREMER (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. JENNIFER LYNN BREMER (P.A.)?
Directory geography for MRS. JENNIFER LYNN BREMER (P.A.) centers on Rolla, Missouri.
Can I trust this NPI listing for MRS. JENNIFER LYNN BREMER (P.A.)?
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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