JENNIFER ANN BLAIR (D.O.) – Family Medicine Physician, NPI 1902172646

JENNIFER ANN BLAIR (D.O.) is a healthcare provider. based in Windsor, Missouri. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 2013034623 (MO). The NPI Number for JENNIFER ANN BLAIR (D.O.) is 1902172646

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN BLAIR (D.O.)
NPI
1902172646
Phone
(660) 647-2147
Address
100 S TEBO ST
Enumeration Date
27 March 2012
Last Update Date
15 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6606472147
Graduation Year
2008 (18 years ago)
PAC ID
4789814658
Group Practice PAC ID
4688561814
Professional Enrollment ID
I20140221000212
Address ID
MO653601161WI100XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
jenniferblair@mhccaremail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

2,330 FAMILY PRACTICE in MO

Provider Addresses for JENNIFER ANN BLAIR (D.O.)

  • 100 S TEBO ST

    WINDSOR, MO 653601161

    Phone: (660) 647-2147

    Fax: (660) 647-2160

    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)

CMS reports 26 Open Payments records for all available years, with a total value of $505.

Total Amount is formed as General ($505) + Research ($0) + Ownership ($0) = $505.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($144).

Total Amount

$505

General + Research + Ownership

Payments

26

Total payment records

General Amount

$505

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2014-02-21

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
I20140221000212IFamily 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2925$0
View full utilization report →

Insurance plans in this area (ZIP 65360)

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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: 4688561814View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Family PracticeMO
Internal MedicineMO
Emergency MedicineGA
-MO
-MO
Family PracticeMO
Nurse PractitionerKS

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER ANN BLAIR (D.O.) for billing?
Administrative and clinical systems typically use NPI 1902172646 for JENNIFER ANN BLAIR (D.O.).
Should I treat JENNIFER ANN BLAIR (D.O.) as an active provider?
Patients and plans typically see JENNIFER ANN BLAIR (D.O.) as active in the national extract.
How should patients interpret JENNIFER ANN BLAIR (D.O.)'s specialty?
The extract shows Family Medicine Physician for JENNIFER ANN BLAIR (D.O.). Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER ANN BLAIR (D.O.) in Windsor, Missouri?
For routing, start with Windsor, Missouri for JENNIFER ANN BLAIR (D.O.), then verify phone and hours locally.
Who maintains JENNIFER ANN BLAIR (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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