JENNIFER LYNNE DATTA (N.P.) – Acute Care Nurse Practitioner, NPI 1083676969

JENNIFER LYNNE DATTA (N.P.) is a healthcare provider. based in Delaware, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 10801-NP (OH). The NPI Number for JENNIFER LYNNE DATTA (N.P.) is 1083676969

Main info

Female
27 Years Of Experience
Name
JENNIFER LYNNE DATTA (N.P.)
NPI
1083676969
Phone
(740) 369-6516
Address
3124 BEAN OLLER RD
Enumeration Date
5 April 2006
Last Update Date
26 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145942141
Graduation Year
1999 (27 years ago)
PAC ID
1254315971
Group Practice PAC ID
5294095956
Professional Enrollment ID
I20110119000713
Address ID
OH431233064GR4461XBROA202
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for JENNIFER LYNNE DATTA (N.P.)

  • 3124, Bean-Oller Road, Liberty Township, Delaware County, Ohio, 43015, United States

    DELAWARE, OH 430159220

    Phone: (740) 369-6516

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $939.

Total Amount is formed as General ($939) + Research ($0) + Ownership ($0) = $939.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Braeburn Inc. ($492).

Total Amount

$939

General + Research + Ownership

Payments

32

Total payment records

General Amount

$939

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-01-19

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
I20110119000713INurse 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
80307Testing for presence of drug, by chemistry analyzers15630$0
99213Established patient office or other outpatient visit, 20-29 minutes9821$0
G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms5019$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms3712$0
90833Psychotherapy with evaluation and management visit, 30 minutes3512$0
View full utilization report →

Insurance plans in this area (ZIP 43015)

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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: 5294095956View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up JENNIFER LYNNE DATTA (N.P.) by NPI?
Use NPI 1083676969 when you need to reference JENNIFER LYNNE DATTA (N.P.) in forms, claims, or directories.
Is JENNIFER LYNNE DATTA (N.P.) active in the national directory?
JENNIFER LYNNE DATTA (N.P.)'s public NPI profile is in an active state.
Does JENNIFER LYNNE DATTA (N.P.) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for JENNIFER LYNNE DATTA (N.P.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER LYNNE DATTA (N.P.)?
The page summarizes Delaware, Ohio for JENNIFER LYNNE DATTA (N.P.); expand the address list for detail.
Is JENNIFER LYNNE DATTA (N.P.) a real provider?
This page reflects official NPPES data for NPI 1083676969. Always confirm identity and privileges with the practice and licensing boards.

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