DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD) – Pediatric Otolaryngology Physician, NPI 1003890807

DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD) is a healthcare provider. based in Memphis, Tennessee. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 436967 (PA). The NPI Number for DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD) is 1003890807

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD)
NPI
1003890807
Phone
(901) 287-5928
Address
51 N DUNLAP ST
Enumeration Date
5 December 2005
Last Update Date
31 August 2022

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
6103977244
Group Practice PAC ID
3173660776
Professional Enrollment ID
I20220914000612
Address ID
NY105322140HA19XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

288 OTOLARYNGOLOGY in TN

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Provider Addresses for DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD)

  • 51, North Dunlap Street, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38105, United States

    G145

    MEMPHIS, TN 381054625

    Phone: (901) 287-5928

    Fax: (901) 266-6455

    Type: Mailing

  • 51 N Dunlap St

    G10

    Memphis, TN 381054625

    Phone: (901) 287-4400

    Fax: (901) 287-5047

    Type: Location

  • 89 EUNICE AVE

    FAIRFIELD, CT 068246820

    Phone: (916) 508-6169

    Type: Mailing

  • 100 WOODS RD

    VALHALLA, NY 105951530

    Phone: (914) 693-7636

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $541.

Total Amount is formed as General ($541) + Research ($0) + Ownership ($0) = $541.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Stryker Corporation ($204).

Total Amount

$541

General + Research + Ownership

Payments

7

Total payment records

General Amount

$541

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

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: 2022-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100721000686IOtolaryngologyTNTBD
I20220914000612IOtolaryngologyNYTBD

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 38105)

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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: 3173660776View full group profile
NameSpecialtyState
-NY
Cardiac Surgery, General Surgery, Surgical Oncology, Thoracic SurgeryNY
-NY
Vascular SurgeryNY
Ophthalmology, PathologyNY
-NY
Nurse PractitionerNY
A N E S T H E S I O L O G YNY
-NY
-NY

Reviews

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Frequently asked questions

What federal number belongs to DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD)?
The federal identifier for DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD) is NPI 1003890807.
Is DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD) active in the national directory?
DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD)'s public NPI profile is in an active state.
What field does DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD) work in?
You can think of DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD) as practicing within Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD)'s primary listing?
We display Memphis, Tennessee because that is what the record indicates for DR. JENNIFER DAWN MCLEVY-BAZZANELLA (MD).
What if Memphis, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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