JENNIFER RENDALL (MS,PA-C) – Medical Physician Assistant, NPI 1164675674

JENNIFER RENDALL (MS,PA-C) is a healthcare provider. based in Princeton, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS,PA-C. They hold a License No. 25MP00208600 (NJ). The NPI Number for JENNIFER RENDALL (MS,PA-C) is 1164675674

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER RENDALL (MS,PA-C)
NPI
1164675674
Phone
(609) 683-4999
Address
208 BUNN DR
Enumeration Date
28 October 2008
Last Update Date
2 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9087821647
Graduation Year
2008 (18 years ago)
PAC ID
1850454489
Group Practice PAC ID
7113951856
Professional Enrollment ID
I20090108000338
Address ID
NJ088221154FL6XXXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for JENNIFER RENDALL (MS,PA-C)

  • 208, Bunn Drive, North Princeton, Princeton, Mercer County, New Jersey, 08540, United States

    PRINCETON, NJ 085402851

    Phone: (609) 683-4999

    Fax: (609) 683-8222

    Type: Mailing

  • 27, Am Rohrbruch, Querumer Forst, Querum, Wabe-Schunter-Beberbach, Brunswick, Lower Saxony, 38108, Germany

    NORTH BRUNSWICK, NJ 089021300

    Phone: (732) 297-8866

    Fax: (732) 821-0626

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-01-08

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
I20090108000338IPhysician AssistantNJTBD

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 minutes1,087754$0
17003Destruction of precancer skin growth, 2-14 growths492105$0
99212Established patient office or other outpatient visit, 10-19 minutes334277$0
17000Destruction of precancer skin growth, 1 growth292216$0
11102Biopsy of related skin growth, first growth267235$0
View full utilization report →

Insurance plans in this area (ZIP 08540)

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Provider's Procedures

JENNIFER RENDALL (MS,PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNJ11101Biopsy of each additional growth of skin and/or tissue8145
PHYSICIAN ASSISTANTNJ17003Destruction of 2-14 skin growths540102

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: 7113951856View full group profile
NameSpecialtyState
D E R M A T O L O G YNJ
Micrographic Dermatologic Surgery (Mds), DermatologyNY
Physician AssistantNJ

Reviews

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Frequently asked questions

How is JENNIFER RENDALL (MS,PA-C) identified in CMS data?
CMS-hosted NPPES data lists JENNIFER RENDALL (MS,PA-C) with NPI 1164675674.
Does the file indicate JENNIFER RENDALL (MS,PA-C) is practicing under active NPI?
Directory data currently reports JENNIFER RENDALL (MS,PA-C) as active.
What taxonomy line describes JENNIFER RENDALL (MS,PA-C)?
For research purposes, treat JENNIFER RENDALL (MS,PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER RENDALL (MS,PA-C) on a map?
Expect Princeton, New Jersey as a primary anchor for JENNIFER RENDALL (MS,PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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