JENNIFER L MOHR (PA) – Surgical Physician Assistant, NPI 1205987104

JENNIFER L MOHR (PA) is a healthcare provider. based in Tinton falls, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 25MP00067800 (NJ). The NPI Number for JENNIFER L MOHR (PA) is 1205987104

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L MOHR (PA)
NPI
1205987104
Phone
(732) 212-0051
Address
66 W GILBERT ST
Enumeration Date
16 January 2007
Last Update Date
11 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8557272251
Graduation Year
2000 (26 years ago)
PAC ID
9638110141
Group Practice PAC ID
1355791997
Professional Enrollment ID
I20181025000722
Address ID
CA926882804RA22431PKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for JENNIFER L MOHR (PA)

  • 66, Gilbert Street West, Tinton Falls, Monmouth County, New Jersey, 07701, United States

    2ND FLOOR

    TINTON FALLS, NJ 077014947

    Phone: (732) 212-0051

    Fax: (732) 212-0713

    Type: Mailing

  • Clinical Academic Building, 125, Paterson Street, New Brunswick, Middlesex County, New Jersey, 08901, United States

    SUITE 4100

    NEW BRUNSWICK, NJ 089011962

    Phone: (732) 235-7800

    Fax: (732) 235-7013

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $357.

Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Baxter Healthcare ($151).

Total Amount

$357

General + Research + Ownership

Payments

6

Total payment records

General Amount

$357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

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: 2018-10-25

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
I20181025000722IPhysician AssistantCATBD

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 07701)

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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: 1355791997View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantCA
Physician AssistantIN
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is JENNIFER L MOHR (PA)'s NPI number?
JENNIFER L MOHR (PA)'s NPI is 1205987104 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JENNIFER L MOHR (PA)?
For scheduling context, JENNIFER L MOHR (PA) is shown as active in the registry.
What expertise is attributed to JENNIFER L MOHR (PA)?
JENNIFER L MOHR (PA)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER L MOHR (PA)?
Directory geography for JENNIFER L MOHR (PA) centers on Tinton Falls, New Jersey.
When was this NPI issued?
Enumeration for JENNIFER L MOHR (PA) is noted as January 16, 2007 where the registry provides it.

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