JENNIE ANNETTE MARIE VERKUYL (PA-C) – Surgical Physician Assistant, NPI 1619539186

JENNIE ANNETTE MARIE VERKUYL (PA-C) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2335 (NV). The NPI Number for JENNIE ANNETTE MARIE VERKUYL (PA-C) is 1619539186

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIE ANNETTE MARIE VERKUYL (PA-C)
NPI
1619539186
Phone
(775) 227-5904
Address
75 PRINGLE WAY STE 804
Enumeration Date
3 July 2019
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7758297999
Graduation Year
2020 (6 years ago)
PAC ID
8628481280
Group Practice PAC ID
4880846138
Professional Enrollment ID
I20201229001228
Address ID
NV895028400RE75XXXWAYX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for JENNIE ANNETTE MARIE VERKUYL (PA-C)

  • 75 PRINGLE WAY STE 804

    RENO, NV 895028400

    Phone: (775) 227-5904

    Type: Location

  • Wedge Parkway, Reno, Washoe County, Nevada, 89521, United States

    RENO, NV 895113036

    Phone: (775) 784-4843

    Type: Location

  • 18600 Wedge Pkwy

    Reno, NV 895113036

    Phone: (775) 784-4843

    Type: Location

  • Sleepy Hollow, Reno, Lamar County, Texas, 75462, United States

    RENO, NV 895029615

    Phone: (775) 771-7989

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Axonics, Inc. ($154).

Total Amount

$244

General + Research + Ownership

Payments

10

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2020-12-29

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
I20201229001228IPhysician AssistantNVTBD

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 89502)

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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: 4880846138View full group profile
NameSpecialtyState
Physician AssistantNV
-NV
Nurse PractitionerNV
General Surgery, Colorectal Surgery (Proctology)NV
Physician AssistantNV
Vascular SurgeryNV

Reviews

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Frequently asked questions

How do payers reference JENNIE ANNETTE MARIE VERKUYL (PA-C)?
For JENNIE ANNETTE MARIE VERKUYL (PA-C), use NPI 1619539186 as the unique 10-digit identifier.
Is JENNIE ANNETTE MARIE VERKUYL (PA-C) still an active registrant?
JENNIE ANNETTE MARIE VERKUYL (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to JENNIE ANNETTE MARIE VERKUYL (PA-C)?
JENNIE ANNETTE MARIE VERKUYL (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Nevada is JENNIE ANNETTE MARIE VERKUYL (PA-C) registered?
Use Reno, Nevada as the headline location for JENNIE ANNETTE MARIE VERKUYL (PA-C) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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