JACK WENKEL (PA) – Physician Assistant, NPI 1891946877

JACK WENKEL (PA) is a healthcare provider. based in Ashland, Missouri. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 2008031587 (MO). The NPI Number for JACK WENKEL (PA) is 1891946877

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JACK WENKEL (PA)
NPI
1891946877
Phone
(573) 657-9354
Address
605C DOUGLAS DR
Enumeration Date
8 October 2008
Last Update Date
24 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736423376
Graduation Year
2008 (18 years ago)
PAC ID
2769549021
Group Practice PAC ID
7810211398
Professional Enrollment ID
I20090401000098
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for JACK WENKEL (PA)

  • 605C DOUGLAS DR

    ASHLAND, MO 650109088

    Phone: (573) 657-9354

    Fax: (573) 657-9694

    Type: Location

  • 850, North Hospital Drive, Fulton, Callaway County, Missouri, 65251, United States

    SUITE F

    FULTON, MO 652512535

    Phone: (573) 642-5338

    Fax: (573) 642-9224

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 95 Open Payments records for all available years, with a total value of $1,515.

Total Amount is formed as General ($1,515) + Research ($0) + Ownership ($0) = $1,515.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Lilly USA, LLC ($271).

Total Amount

$1,515

General + Research + Ownership

Payments

95

Total payment records

General Amount

$1,515

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2009-04-01

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
I20090401000098IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes11961$0
99213Established patient office or other outpatient visit, 20-29 minutes10266$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3333$0
36415Insertion of needle into vein for collection of blood sample2116$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 65010)

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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: 7810211398View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JACK WENKEL (PA)?
JACK WENKEL (PA) — NPI 1891946877 — is the standard way to identify this listing.
Does the file indicate JACK WENKEL (PA) is practicing under active NPI?
Directory data currently reports JACK WENKEL (PA) as active.
What taxonomy line describes JACK WENKEL (PA)?
For research purposes, treat JACK WENKEL (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is JACK WENKEL (PA) based?
JACK WENKEL (PA) is tied to Ashland, Missouri in the data we show; additional addresses may exist on the full record.
Why does JACK WENKEL (PA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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