MS. TAMMY R JEWELL (PA) – Physician Assistant, NPI 1750363859
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,736 PHYSICIAN ASSISTANT in KY
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Provider Addresses for MS. TAMMY R JEWELL (PA)
Box, Cleveland County, Oklahoma, United States
CLEVELAND, OH 441930001
Phone: (586) 412-4000
Fax: (586) 412-4100
Type: Mailing
Saint Elizabeth Medical Center Edgewood, 1, Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410173403
Phone: (859) 301-2160
Fax: (859) 301-3932
Type: Location
1 Medical Village Dr
Edgewood, KY 410173403
Phone: (859) 301-2160
Fax: (859) 301-3932
Type: Location
4440 GLEN ESTE WITHAMSVILLE RD STE 500
CINCINNATI, OH 452451331
Phone: (513) 347-9999
Type: Location
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: 2025-08-28
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20250828000621 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44193)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | KY | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 39 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | OH | |
| Infectious Disease | OH | |
| P S Y C H I A T R Y | OH | |
| Sleep Medicine, Neurology | OH | |
| General Surgery | OH | |
| Orthopedic Surgery, Sports Medicine | OH | |
| Surgical Oncology | OH | |
| Vascular Surgery | OH | |
| Thoracic Surgery | CA | |
| General Surgery | OH |
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