MRS. JENNIFER RANEE DEWILDE (DC) – Chiropractor, NPI 1306905054
Chiropractor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for MRS. JENNIFER RANEE DEWILDE (DC)
65 RAMAPO VALLEY RD STE 102B
MAHWAH, NJ 074301182
Phone: (732) 300-0833
Type: Mailing
West Market Street, Red Bud, Randolph County, Illinois, 62278, United States
SUITE 1
RED BUD, IL 62278
Phone: (618) 282-3900
Fax: (618) 282-3971
Type: Mailing
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: 2025-08-13
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 |
|---|---|---|---|---|
| I20240226002382 | I | Nurse Practitioner | KS | TBD |
| I20250813000536 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07430)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CHIROPRACTIC | IL | 98940 | Chiropractic manipulative treatment, 1-2 spinal regions | 1121 | 99 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| - | KS | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | KS | |
| - | KS | |
| Nurse Practitioner | MO |
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