CHELSEA ANN JENNINGS (AGNP-C) – Nurse Practitioner, NPI 1386111227
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHELSEA ANN JENNINGS (AGNP-C)
1200 Mira Mar Ave
Medford, OR 975048546
Phone: (248) 867-2467
Type: Location
1250, Mira Mar Avenue, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975045520
Phone: (541) 857-7133
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: 2019-01-08
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 |
|---|---|---|---|---|
| I20190108003745 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 277 | 155 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 171 | 99 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 22 | 18 | $0 |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 20 | 20 | $0 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 19 | 19 | $0 |
Insurance plans in this area (ZIP 97504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WV | |
| N E U R O L O G Y | CO | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | OR | |
| N E U R O L O G Y | OR | |
| - | OR | |
| Nurse Practitioner | GA | |
| Internal Medicine | OR | |
| N E U R O L O G Y | CO |
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