JENNIFER P CHAN (M.D.) – Family Medicine Physician, NPI 1073510418

JENNIFER P CHAN (M.D.) is a healthcare provider. based in Chambersburg, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD068706L (PA). The NPI Number for JENNIFER P CHAN (M.D.) is 1073510418

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER P CHAN (M.D.)
NPI
1073510418
Phone
(717) 709-7922
Address
111 CHAMBERS HILL DR
Enumeration Date
30 June 2005
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
7177097999
Graduation Year
1997 (29 years ago)
PAC ID
3173577400
Group Practice PAC ID
5496663312
Professional Enrollment ID
I20050309000412
Address ID
PA172014219CH820XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

6,123 FAMILY PRACTICE in PA

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Provider Addresses for JENNIFER P CHAN (M.D.)

  • Chambersberg, 1, Chambersberg, Hägendorf, Bezirk Olten, Amtei Olten-Gösgen, Solothurn, 4458, Switzerland

    STE 200

    CHAMBERSBURG, PA 172017304

    Phone: (717) 709-7922

    Fax: (717) 263-2055

    Type: Mailing

  • 820, 5th Avenue, Chambersburg, Franklin County, Pennsylvania, 17201, United States

    CHAMBERSBURG, PA 172014219

    Phone: (717) 263-4313

    Fax: (717) 263-0500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,115.

Total Amount is formed as General ($1,115) + Research ($0) + Ownership ($0) = $1,115.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($332).

Total Amount

$1,115

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-09

PECOS data refreshed: 2026-06-15

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
I20050309000412IFamily PracticePATBD

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 17201)

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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: 5496663312View full group profile
NameSpecialtyState
Family PracticePA
Family PracticePA
Nurse PractitionerPA
Nurse PractitionerMD
Certified Nurse Midwife (Cnm)PA
Nurse PractitionerPA
Pediatric Medicine, Family Practice, Internal MedicinePA
O B S T E T R I C S/ G Y N E C O L O G YPA
Internal MedicinePA
-PA

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER P CHAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1073510418 for JENNIFER P CHAN (M.D.).
Is JENNIFER P CHAN (M.D.)'s NPI status active today?
Active status means JENNIFER P CHAN (M.D.)'s NPI record is not deactivated in the public file.
What type of care does JENNIFER P CHAN (M.D.) provide?
JENNIFER P CHAN (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JENNIFER P CHAN (M.D.)?
JENNIFER P CHAN (M.D.) is associated with Chambersburg, Pennsylvania in the same public data insurers reference.
Who maintains JENNIFER P CHAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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