JENNIFER KRUSEMARK-MILLIN (DO) – Family Medicine Physician, NPI 1215952262
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for JENNIFER KRUSEMARK-MILLIN (DO)
6046, Whipple Avenue Northwest, North Canton, Jackson Township, Stark County, Ohio, 44720, United States
NORTH CANTON, OH 447207616
Phone: (330) 484-2584
Fax: (330) 484-3529
Type: Mailing
4320 CLEVELAND AVE. SE
CANTON, OH 44707
Phone: (330) 484-2584
Fax: (330) 484-3529
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,298.
Total Amount is formed as General ($1,298) + Research ($0) + Ownership ($0) = $1,298.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($315).
Total Amount
$1,298
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-08-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060801000006 | I | Family Practice | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 87 | 87 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 42 | $0 |
| G0008 | Administration of influenza virus vaccine | 32 | 30 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 31 | 29 | $0 |
Insurance plans in this area (ZIP 44720)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 90670 | Pneumococcal vaccine for injection into muscle | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| - | OH | |
| Family Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| - | OH | |
| Family Practice | OH | |
| - | OH |
Reviews
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