JOANNE M. JETER (M.D.) – Clinical Genetics (M.D.) Physician, NPI 1871568444

JOANNE M. JETER (M.D.) is a healthcare provider. based in Columbus, Ohio. specializing in MEDICAL GENETICS AND GENOMICS, MEDICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. C191393 (CA). The NPI Number for JOANNE M. JETER (M.D.) is 1871568444

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JOANNE M. JETER (M.D.)
NPI
1871568444
Phone
(614) 293-6694
Address
700 ACKERMAN RD
Enumeration Date
17 February 2006
Last Update Date
15 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6262564673
Graduation Year
2000 (26 years ago)
PAC ID
2466487905
Group Practice PAC ID
3779751656
Professional Enrollment ID
I20240101000039
Address ID
CA910103012DU1500XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
jjeter455312@direct.med.utah.edu
Secure Messaging
direct@cityofhope.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

68 MEDICAL GENETICS AND GENOMICS in CA

Provider Addresses for JOANNE M. JETER (M.D.)

  • 700, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States

    SUITE 570

    COLUMBUS, OH 432021559

    Phone: (614) 293-6694

    Type: Mailing

  • PO BOX 512185

    LOS ANGELES, CA 900510185

    Phone:

    Type: Mailing

  • 1500 DUARTE RD

    DUARTE, CA 910103012

    Phone: (626) 256-4673

    Type: Location

  • 1211 E CATON WAY

    SALT LAKE CITY, UT 841064317

    Phone: (520) 850-2376

    Type: Mailing

  • 2000 CIRCLE OF HOPE DR

    SALT LAKE CITY, UT 841125550

    Phone: (801) 646-4070

    Type: Location

  • 2001, Polaris Parkway, Columbus, Delaware County, Ohio, 43240, United States

    COLUMBUS, OH 432402000

    Phone: (614) 293-6694

    Fax: (614) 293-2314

    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: 2024-01-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200626002316IMedical OncologyUTTBD
I20240101000039IMedical Genetics And GenomicsCATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes8042$0
99205New patient office or other outpatient visit, 60-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 43202)

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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: 3779751656View full group profile
NameSpecialtyState
-CA
Nurse PractitionerCA
Cardiovascular Disease (Cardiology)CA
Hematology/Oncology, Internal MedicineCA
-CA
Nurse PractitionerCA
Certified Registered Nurse Anesthetist (Crna)CA
Endocrinology, Internal MedicineCA
General SurgeryCA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What NPI should I save for JOANNE M. JETER (M.D.)?
Save NPI 1871568444 if you need a stable reference for JOANNE M. JETER (M.D.).
Is JOANNE M. JETER (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOANNE M. JETER (M.D.) list a primary specialty?
If you are matching referrals, note Clinical Genetics (M.D.) Physician for JOANNE M. JETER (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for JOANNE M. JETER (M.D.)?
We surface Columbus, Ohio for JOANNE M. JETER (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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