JENNIFER STAUFFER (FNP) – Family Nurse Practitioner, NPI 1073904520

JENNIFER STAUFFER (FNP) is a healthcare provider. based in Jefferson, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. COA.16877-NP (OH). The NPI Number for JENNIFER STAUFFER (FNP) is 1073904520

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER STAUFFER (FNP)
NPI
1073904520
Phone
(440) 576-8933
Address
234 N CHESTNUT ST
Enumeration Date
5 February 2015
Last Update Date
2 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164446116
Graduation Year
2014 (12 years ago)
PAC ID
7810214228
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20150324001503
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JENNIFER STAUFFER (FNP)

  • 234 N CHESTNUT ST

    JEFFERSON, OH 440471128

    Phone: (440) 576-8933

    Fax: (440) 576-8931

    Type: Mailing

  • PO BOX 746071

    ATLANTA, GA 303746071

    Phone: (312) 733-9730

    Fax: (733) 866-8014

    Type: Mailing

  • 16888 HARVARD AVE

    CLEVELAND, OH 441282208

    Phone: (216) 810-7159

    Fax: (216) 920-6286

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$30
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: 2015-03-24

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
I20150324001503INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9873$0
99213Established patient office or other outpatient visit, 20-29 minutes9271$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 44047)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN

Reviews

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Frequently asked questions

How do payers reference JENNIFER STAUFFER (FNP)?
For JENNIFER STAUFFER (FNP), use NPI 1073904520 as the unique 10-digit identifier.
Active or inactive — what applies to JENNIFER STAUFFER (FNP)?
You should see JENNIFER STAUFFER (FNP) as active in CMS-hosted NPPES data.
How would a patient describe JENNIFER STAUFFER (FNP)'s focus?
For JENNIFER STAUFFER (FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNIFER STAUFFER (FNP) located near Jefferson?
JENNIFER STAUFFER (FNP) currently maps to Jefferson, Ohio in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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