JENNIFER MARIA DE VRIES (MD) – Pediatric Anesthesiology Physician, NPI 1891768974

JENNIFER MARIA DE VRIES (MD) is a healthcare provider. based in Miamisburg, Ohio. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 35.064110 (OH). The NPI Number for JENNIFER MARIA DE VRIES (MD) is 1891768974

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MARIA DE VRIES (MD)
NPI
1891768974
Phone
(937) 641-3880
Address
3333 W Tech Rd
Enumeration Date
9 February 2006
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9376414000
Graduation Year
1991 (35 years ago)
PAC ID
3375598915
Group Practice PAC ID
5496916124
Professional Enrollment ID
I20100622000197
Address ID
OH454041873DA1XXXXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,268 ANESTHESIOLOGY in OH

Provider Addresses for JENNIFER MARIA DE VRIES (MD)

  • 3333 W Tech Rd

    Miamisburg, OH 453420955

    Phone: (937) 641-3880

    Fax: (937) 641-6159

    Type: Location

  • Dayton Children’s Hospital, 1, Childrens Plaza, Dayton, Montgomery County, Ohio, 45404, United States

    DAYTON, OH 454041815

    Phone: (937) 641-3477

    Fax: (937) 641-5410

    Type: Location

  • PO BOX 933432

    CLEVELAND, OH 441930039

    Phone: (937) 641-3000

    Type: Mailing

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: 2010-06-22

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
I20100622000197IAnesthesiologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45342)

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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: 5496916124View full group profile
NameSpecialtyState
Critical Care (Intensivists)OH
Emergency Medicine, Pediatric MedicineNY
G A S T R O E N T E R O L O G YOH
-OH
Pediatric Medicine, General SurgeryOH
A N E S T H E S I O L O G YTN
Pediatric MedicineOH
Critical Care (Intensivists), Pediatric MedicineOH
H E M A T O L O G Y/ O N C O L O G YOH
Pediatric MedicineOH

Reviews

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Frequently asked questions

What is JENNIFER MARIA DE VRIES (MD)'s NPI number?
JENNIFER MARIA DE VRIES (MD)'s NPI is 1891768974 — the number used across U.S. healthcare to identify this provider.
Is JENNIFER MARIA DE VRIES (MD) still an active registrant?
JENNIFER MARIA DE VRIES (MD) carries an active NPI according to the public dataset.
What kind of doctor is JENNIFER MARIA DE VRIES (MD)?
JENNIFER MARIA DE VRIES (MD) is associated with Pediatric Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER MARIA DE VRIES (MD) located near Miamisburg?
JENNIFER MARIA DE VRIES (MD) currently maps to Miamisburg, Ohio in this extract.
When was this NPI issued?
Enumeration for JENNIFER MARIA DE VRIES (MD) is noted as February 9, 2006 where the registry provides it.

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