JENNIFER ECKENRODE FITZSIMMONS (CRNP) – Primary Care Nurse Practitioner, NPI 1730517111

JENNIFER ECKENRODE FITZSIMMONS (CRNP) is a healthcare provider. based in Bedford, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R200178 (MD). The NPI Number for JENNIFER ECKENRODE FITZSIMMONS (CRNP) is 1730517111

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ECKENRODE FITZSIMMONS (CRNP)
NPI
1730517111
Phone
(814) 623-8414
Address
9589 LINCOLN HWY STE 3
Enumeration Date
23 October 2013
Last Update Date
2 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8146238414
Graduation Year
2012 (14 years ago)
PAC ID
3577796747
Group Practice PAC ID
5799196812
Professional Enrollment ID
I20190206003234
Address ID
PA155227770BE5157XBUSI201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

11,556 NURSE PRACTITIONER in PA

Provider Addresses for JENNIFER ECKENRODE FITZSIMMONS (CRNP)

  • 9589 LINCOLN HWY STE 3

    BEDFORD, PA 155223701

    Phone: (814) 623-8414

    Type: Mailing

  • 5157 BUSINESS 220 STE 1

    BEDFORD, PA 155227770

    Phone: (814) 623-8414

    Fax: (814) 623-6668

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $765.

Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Lilly USA, LLC ($171).

Total Amount

$765

General + Research + Ownership

Payments

45

Total payment records

General Amount

$765

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-02-06

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
I20190206003234INurse PractitionerPATBD

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
36415Insertion of needle into vein for collection of blood sample8444$0
99214Established patient office or other outpatient visit, 30-39 minutes7548$0
99213Established patient office or other outpatient visit, 20-29 minutes6744$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4747$0
G0442Annual alcohol misuse screening, 5 to 15 minutes4747$0
View full utilization report →

Insurance plans in this area (ZIP 15522)

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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: 5799196812View full group profile
NameSpecialtyState
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is JENNIFER ECKENRODE FITZSIMMONS (CRNP) listed with a National Provider Identifier?
Yes — JENNIFER ECKENRODE FITZSIMMONS (CRNP) has NPI 1730517111 on file in the registry.
Would JENNIFER ECKENRODE FITZSIMMONS (CRNP) appear as active to a payer?
You can treat JENNIFER ECKENRODE FITZSIMMONS (CRNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JENNIFER ECKENRODE FITZSIMMONS (CRNP)?
JENNIFER ECKENRODE FITZSIMMONS (CRNP) is associated with Primary Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER ECKENRODE FITZSIMMONS (CRNP)?
Directory geography for JENNIFER ECKENRODE FITZSIMMONS (CRNP) centers on Bedford, Pennsylvania.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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