ELIZABETH M JENSEN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1912940164

ELIZABETH M JENSEN (MD) is a healthcare provider. based in Toledo, Ohio. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 350141-1205 (UT). The NPI Number for ELIZABETH M JENSEN (MD) is 1912940164

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH M JENSEN (MD)
NPI
1912940164
Phone
(800) 288-8325
Address
5700 SOUTHWYCK BLVD
Enumeration Date
14 June 2006
Last Update Date
21 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
1991 (35 years ago)
PAC ID
3072803162
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20210727000311
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
ejensen143771@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

159 PATHOLOGY in UT

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Provider Addresses for ELIZABETH M JENSEN (MD)

  • 5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436141509

    Phone: (800) 288-8325

    Fax: (419) 866-5453

    Type: Mailing

  • St. Mark's Hospital, 1200, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States

    SALT LAKE CITY, UT 841241300

    Phone: (801) 268-7111

    Type: Location

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    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: 2021-07-27

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
I20160601002406IPathologyUTTBD
I20210727000311IPathologyILTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity555236$0
88342Special stained specimen slides to examine tissue, initial procedure3429$0
88341Special stained specimen slides to examine tissue, each additional procedure3315$0
88312Special stained specimen slides to identify organisms including interpretation and report2921$0
88307Pathology examination of tissue using a microscope, moderately high complexity2016$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

Does ELIZABETH M JENSEN (MD) have a public NPI I can cite?
Public records show ELIZABETH M JENSEN (MD) under NPI 1912940164.
Quick check: is ELIZABETH M JENSEN (MD) active?
Public NPPES data shows ELIZABETH M JENSEN (MD) with an active NPI status right now.
What services align with ELIZABETH M JENSEN (MD)'s listing?
ELIZABETH M JENSEN (MD)'s public classification highlights Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ELIZABETH M JENSEN (MD)?
The directory associates ELIZABETH M JENSEN (MD) with Toledo, Ohio. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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