MS. JENNIFER CHAVEZ (PA-C) – Surgical Physician Assistant, NPI 1457354789
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
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Provider Addresses for MS. JENNIFER CHAVEZ (PA-C)
Westfield I, 9850, Nicholas Street, Omaha, Douglas County, Nebraska, 68114, United States
STE 250
OMAHA, NE 681142186
Phone: (402) 399-9990
Fax: (402) 393-1042
Type: Mailing
PO BOX 3755
OMAHA, NE 681030755
Phone: (402) 354-2100
Fax: (402) 354-2155
Type: Mailing
515 N 162ND AVE STE 300
OMAHA, NE 681182540
Phone: (402) 354-1200
Fax: (402) 354-1205
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,839.
Total Amount is formed as General ($1,839) + Research ($0) + Ownership ($0) = $1,839.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($486).
Total Amount
$1,839
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,839
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $486 |
| Medical Device Business Services, Inc. | $255 |
| LeMaitre Vascular, Inc. | $229 |
| Smith+Nephew, Inc. | $78 |
| Ethicon US, LLC | $75 |
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: 2015-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040615001362 | I | Physician Assistant | NE | TBD |
| I20150105001302 | I | Physician Assistant | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 54 | $0 |
| 36833 | Revision of hemodialysis graft with removal of blood clot | 13 | 12 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 11 | $0 |
| 36830 | Creation of artery-vein connection using tube graft for hemodialysis | 12 | 12 | $0 |
Insurance plans in this area (ZIP 68114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| N E U R O L O G Y | NE | |
| Family Practice, Hospitalist | IA | |
| Nurse Practitioner | NE | |
| Internal Medicine | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Infectious Disease | NE | |
| - | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE |
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