JENNA FAHEY (PA-C) – Physician Assistant, NPI 1376120832

JENNA FAHEY (PA-C) is a healthcare provider. based in Lincoln, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for JENNA FAHEY (PA-C) is 1376120832

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNA FAHEY (PA-C)
NPI
1376120832
Phone
(402) 598-1546
Address
2200 W LAGUNA RD
Enumeration Date
29 March 2021
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4024413575
Graduation Year
2020 (6 years ago)
PAC ID
8820495849
Group Practice PAC ID
2365612785
Professional Enrollment ID
I20210917001440
Address ID
NE685214643LI755XXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for JENNA FAHEY (PA-C)

  • 2200 W LAGUNA RD

    LINCOLN, NE 685221153

    Phone: (402) 598-1546

    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 15 Open Payments records for all available years, with a total value of $299.

Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: ABBVIE INC. ($58).

Total Amount

$299

General + Research + Ownership

Payments

15

Total payment records

General Amount

$299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2021-09-17

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
I20210917001440IPhysician AssistantNETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7170$0
81003Automated urinalysis test1615$0
View full utilization report →

Insurance plans in this area (ZIP 68522)

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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: 2365612785View full group profile
NameSpecialtyState
Family PracticeNE
-NE
Family PracticeNE
Family PracticeNE

Reviews

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Frequently asked questions

Can I use this page to confirm JENNA FAHEY (PA-C)'s NPI?
Yes. JENNA FAHEY (PA-C) is listed with NPI 1376120832 in the public NPI dataset.
Is JENNA FAHEY (PA-C) still practicing?
JENNA FAHEY (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes JENNA FAHEY (PA-C)?
For research purposes, treat JENNA FAHEY (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is JENNA FAHEY (PA-C) based?
JENNA FAHEY (PA-C) is tied to Lincoln, Nebraska in the data we show; additional addresses may exist on the full record.
Why does JENNA FAHEY (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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