JENNA SANDERS (PA-C) – Physician Assistant, NPI 1215642939

JENNA SANDERS (PA-C) is a healthcare provider. based in Waynesville, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2025047846 (MO). The NPI Number for JENNA SANDERS (PA-C) is 1215642939

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JENNA SANDERS (PA-C)
NPI
1215642939
Phone
(573) 774-2715
Address
1000 GW Ln
Enumeration Date
17 January 2023
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123546303
Graduation Year
2022 (4 years ago)
PAC ID
4587020821
Group Practice PAC ID
2668855776
Professional Enrollment ID
I20230511002725
Address ID
GA314063928SA1326XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for JENNA SANDERS (PA-C)

  • 1000 GW Ln

    Waynesville, MO 655832339

    Phone: (573) 774-2715

    Fax: (573) 202-2410

    Type: Location

  • 1000 W 10th St

    Rolla, MO 654012905

    Phone: (573) 458-8899

    Fax: (573) 341-5611

    Type: Location

  • 1422 S Sam Houston Blvd

    Houston, MO 654832130

    Phone: (573) 364-9000

    Fax: (573) 426-2108

    Type: Location

  • 1326 Eisenhower Dr Bldg 2

    Savannah, GA 314063928

    Phone: (912) 354-6303

    Type: Location

  • 1050 W 10TH ST

    ROLLA, MO 654012905

    Phone: (573) 364-9000

    Fax: (573) 426-2108

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $1,527.

Total Amount is formed as General ($1,527) + Research ($0) + Ownership ($0) = $1,527.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,527).

Total Amount

$1,527

General + Research + Ownership

Payments

9

Total payment records

General Amount

$1,527

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$1,527
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: 2025-12-11

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
I20230511002725IPhysician AssistantGATBD
I20251211001001IPhysician 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.

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

Insurance plans in this area (ZIP 65583)

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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: 2668855776View full group profile
NameSpecialtyState
Physician AssistantGA
General SurgeryGA
General SurgeryGA
General SurgeryTX
General SurgeryNC

Reviews

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Frequently asked questions

What NPI should I save for JENNA SANDERS (PA-C)?
Save NPI 1215642939 if you need a stable reference for JENNA SANDERS (PA-C).
Is JENNA SANDERS (PA-C) active in the national directory?
JENNA SANDERS (PA-C)'s public NPI profile is in an active state.
What does JENNA SANDERS (PA-C) treat or focus on?
Patients typically see JENNA SANDERS (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JENNA SANDERS (PA-C) practice in Missouri?
You will see Waynesville, Missouri on file for JENNA SANDERS (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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