JENNA LEE DUBRUIEL (PA) – Physician Assistant, NPI 1114281748
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for JENNA LEE DUBRUIEL (PA)
1123 N MAIN ST
DYER, TN 383301019
Phone: (731) 692-2853
Fax: (731) 692-2367
Type: Location
1431 CENTERPOINT BLVD
SUITE 100
KNOXVILLE, TN 379321984
Phone:
Type: Mailing
1201 BISHOP ST
UNION CITY, TN 382615403
Phone: (731) 885-2410
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $295.
Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.
Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($82).
Total Amount
$295
General + Research + Ownership
Payments
16
Total payment records
General Amount
$295
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $82 |
| Novo Nordisk Inc | $50 |
| ABBVIE INC. | $46 |
| GlaxoSmithKline, LLC. | $24 |
| Lilly USA, LLC | $23 |
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: 2012-08-21
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 |
|---|---|---|---|---|
| I20120821001098 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 216 | 102 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 145 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 97 | 73 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 96 | 26 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 81 | 19 | $0 |
Insurance plans in this area (ZIP 38330)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Family Practice, Geriatric Medicine | KY | |
| Internal Medicine | NY | |
| Emergency Medicine, Internal Medicine | MS | |
| - | MO | |
| Family Practice, Hospitalist, Family Practice | FL | |
| Internal Medicine | TN | |
| Internal Medicine | SC | |
| Internal Medicine | NC | |
| - | TN |
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