ANNE KELSO JENSEN (MD) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1992067292

ANNE KELSO JENSEN (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD459242 (PA). The NPI Number for ANNE KELSO JENSEN (MD) is 1992067292

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ANNE KELSO JENSEN (MD)
NPI
1992067292
Phone
(215) 590-2791
Address
3401 CIVIC CENTER BLVD
Enumeration Date
12 June 2012
Last Update Date
17 June 2019

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
2674259505
Graduation Year
2012 (14 years ago)
PAC ID
8527498567
Group Practice PAC ID
9739083494
Professional Enrollment ID
I20200415002126
Address ID
PA191044319PH3401XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,144 OPHTHALMOLOGY in PA

Provider Addresses for ANNE KELSO JENSEN (MD)

  • 3401 CIVIC CENTER BLVD

    PHILADELPHIA, PA 191044319

    Phone: (215) 590-2791

    Type: Mailing

  • 5501 Old York Road

    Albert Einstein Medical Center

    Philadelphia, PA 191412511

    Phone: (800) 220-2362

    Type: Location

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: 2020-04-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200415002126IOphthalmologyPATBD

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 19104)

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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: 9739083494View full group profile
NameSpecialtyState
Orthopedic SurgeryPA
-PA
Orthopedic SurgeryPA
-PA
Sports MedicinePA
General SurgeryPA
O P H T H A L M O L O G YNJ
General SurgeryPA
Nurse PractitionerPA
Thoracic SurgeryPA

Reviews

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Frequently asked questions

How do I look up ANNE KELSO JENSEN (MD) by NPI?
Use NPI 1992067292 when you need to reference ANNE KELSO JENSEN (MD) in forms, claims, or directories.
Does this profile mean ANNE KELSO JENSEN (MD) is currently active?
Yes — ANNE KELSO JENSEN (MD) appears active in the national provider directory.
What field does ANNE KELSO JENSEN (MD) work in?
You can think of ANNE KELSO JENSEN (MD) as practicing within Pediatric Ophthalmology and Strabismus Specialist Physician. Clinical services aligned with this taxonomy classification.
Where is ANNE KELSO JENSEN (MD)'s primary listing?
We display Philadelphia, Pennsylvania because that is what the record indicates for ANNE KELSO JENSEN (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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