JESSICA LYNN FENNER (PA-C) – Physician Assistant, NPI 1003144882
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
Provider Addresses for JESSICA LYNN FENNER (PA-C)
3565 ROUTE 611 STE 300
BARTONSVILLE, PA 183217800
Phone: (484) 526-6545
Type: Location
175, East Brown Street, East Stroudsburg, Monroe County, Pennsylvania, 18301, United States
SUITE 115
EAST STROUDSBURG, PA 183013098
Phone: (570) 424-7764
Fax: (570) 421-0760
Type: Location
23, Oak Leaf Lane, East Stroudsburg, Monroe County, Pennsylvania, 18301, United States
EAST STROUDSBURG, PA 18301
Phone: (570) 242-8876
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $1,537.
Total Amount is formed as General ($1,537) + Research ($0) + Ownership ($0) = $1,537.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($332).
Total Amount
$1,537
General + Research + Ownership
Payments
85
Total payment records
General Amount
$1,537
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-07-10
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 |
|---|---|---|---|---|
| I20180710002854 | I | Physician Assistant | PA | 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 | 166 | 146 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 83 | 83 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 18321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| C H I R O P R A C T I C | PA | |
| - | PA | |
| - | PA | |
| - | TX | |
| - | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA |
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