JENNIFER R WISDOM-BEHOUNEK (MD) – Family Medicine Physician, NPI 1497858278

JENNIFER R WISDOM-BEHOUNEK (MD) is a healthcare provider. based in Columbia, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. T2006017329 (MO). The NPI Number for JENNIFER R WISDOM-BEHOUNEK (MD) is 1497858278

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER R WISDOM-BEHOUNEK (MD)
NPI
1497858278
Phone
Not provided
Address
551 EAST SOUTHAMPTON DRIVE
Enumeration Date
6 September 2006
Last Update Date
22 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8024536843
Graduation Year
2006 (20 years ago)
PAC ID
6305991290
Group Practice PAC ID
9638321342
Professional Enrollment ID
I20201015003107
Address ID
VT054431043BR61XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

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Provider Addresses for JENNIFER R WISDOM-BEHOUNEK (MD)

  • 551, Southampton Drive, Columbia, Boone County, Missouri, 65203, United States

    COLUMBIA, MO 65201

    Phone:

    Type: Mailing

  • 61 PINE ST BLDG 4

    BRISTOL, VT 054431043

    Phone:

    Type: Mailing

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: 2020-10-15

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
I20201015003107IFamily PracticeVTTBD

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
83036Hemoglobin a1c level2813$0
80061Blood test, lipids (cholesterol and triglycerides)1713$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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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: 9638321342View full group profile
NameSpecialtyState
Family PracticeVT
-VT
Internal Medicine, Obstetrics/Gynecology, Family PracticeVT
-VT
Nurse PractitionerMA
-VT
Nurse PractitionerVT
-VT
Nurse PractitionerVT
Physician AssistantVT

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER R WISDOM-BEHOUNEK (MD)?
The federal identifier for JENNIFER R WISDOM-BEHOUNEK (MD) is NPI 1497858278.
Is JENNIFER R WISDOM-BEHOUNEK (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JENNIFER R WISDOM-BEHOUNEK (MD) work in?
You can think of JENNIFER R WISDOM-BEHOUNEK (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER R WISDOM-BEHOUNEK (MD)?
We surface Columbia, Missouri for JENNIFER R WISDOM-BEHOUNEK (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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