JAN F ONIK (DO) – Family Medicine Physician, NPI 1982604930

JAN F ONIK (DO) is a healthcare provider. based in Louisiana, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. R5C36 (MO). The NPI Number for JAN F ONIK (DO) is 1982604930

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JAN F ONIK (DO)
NPI
1982604930
Phone
(573) 754-5555
Address
211 S 3RD ST
Enumeration Date
29 July 2005
Last Update Date
29 January 2010

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5732481300
Graduation Year
1981 (45 years ago)
PAC ID
5890868111
Group Practice PAC ID
1254236300
Professional Enrollment ID
I20100901000085
Address ID
MO634016890HA6500XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for JAN F ONIK (DO)

  • 211, South 3rd Street, Monroe, Ouachita Parish, Louisiana, 71201, United States

    LOUISIANA, MO 633532000

    Phone: (573) 754-5555

    Fax: (573) 754-4077

    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 23 Open Payments records for all available years, with a total value of $417.

Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($94).

Total Amount

$417

General + Research + Ownership

Payments

23

Total payment records

General Amount

$417

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

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: 2010-09-01

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
I20100901000085IFamily 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 63353)

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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: 1254236300View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Internal MedicineMO
Nephrology, Internal Medicine, Nephrology, Internal MedicineIL
Nurse PractitionerMO
Emergency MedicineMO
Nurse PractitionerMO
P A T H O L O G YMO
Internal Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

What is the standard ID for JAN F ONIK (DO) in the U.S.?
In the U.S., JAN F ONIK (DO) is identified by NPI 1982604930.
Is JAN F ONIK (DO)'s NPI status active today?
Active status means JAN F ONIK (DO)'s NPI record is not deactivated in the public file.
What does the directory say JAN F ONIK (DO) does?
Insurance directories may phrase it differently, but here JAN F ONIK (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JAN F ONIK (DO)?
The directory associates JAN F ONIK (DO) with Louisiana, Missouri. Check all listed addresses for suites or satellite offices.
Why is information missing for JAN F ONIK (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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