JENNIFER R SELLMAN (D.O.) – Family Medicine Physician, NPI 1649390683

JENNIFER R SELLMAN (D.O.) is a healthcare provider. based in Kennett, Missouri. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 2006013170 (MO). The NPI Number for JENNIFER R SELLMAN (D.O.) is 1649390683

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER R SELLMAN (D.O.)
NPI
1649390683
Phone
(573) 888-0303
Address
1061 JONES ST
Enumeration Date
31 March 2007
Last Update Date
23 July 2012

Doctor Profile

Medical School Name
KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
5736141900
Graduation Year
2004 (22 years ago)
PAC ID
7315031333
Group Practice PAC ID
7315192515
Professional Enrollment ID
I20070921000407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JENNIFER R SELLMAN (D.O.)

  • 1061 JONES ST

    KENNETT, MO 638573866

    Phone: (573) 888-0303

    Fax: (573) 888-0304

    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: 2007-09-21

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
I20070921000407IFamily PracticeMOTBD

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 63857)

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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: 7315192515View full group profile
NameSpecialtyState
P S Y C H I A T R YMO
Internal Medicine, Family PracticeMO
-MO
-MI
Family PracticeNH
Family Practice, Emergency Medicine, Geriatric MedicineMO
General SurgeryMO
Internal Medicine, Family PracticeMO
-MO
Emergency MedicineIA

Reviews

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Frequently asked questions

Can I verify JENNIFER R SELLMAN (D.O.) with an NPI only?
You can start verification with NPI 1649390683 for JENNIFER R SELLMAN (D.O.), then check state licensing separately.
Is JENNIFER R SELLMAN (D.O.) still practicing?
JENNIFER R SELLMAN (D.O.) is currently listed as active in the public NPI registry.
What is JENNIFER R SELLMAN (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for JENNIFER R SELLMAN (D.O.) here. Clinical services aligned with this taxonomy classification.
Does JENNIFER R SELLMAN (D.O.) list a practice location?
Patients near Kennett, Missouri may find JENNIFER R SELLMAN (D.O.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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