ELIZABETH A JANSEN (D.O.) – Anesthesiology Physician, NPI 1629206644

ELIZABETH A JANSEN (D.O.) is a healthcare provider. based in Chattanooga, Tennessee. specializing in Anesthesiology Physician. They hold the professional credentials D.O.. They hold a License No. N/A (OH). The NPI Number for ELIZABETH A JANSEN (D.O.) is 1629206644

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH A JANSEN (D.O.)
NPI
1629206644
Phone
(423) 541-5500
Address
4610 BRAINERD RD
Enumeration Date
29 June 2009
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305273000
Graduation Year
2009 (17 years ago)
PAC ID
6002138492
Group Practice PAC ID
6305747890
Professional Enrollment ID
I20141215001947
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:16State licenses:4Digital endpointsOther names

Provider Addresses for ELIZABETH A JANSEN (D.O.)

  • 4610 BRAINERD RD

    CHATTANOOGA, TN 374113835

    Phone: (423) 541-5500

    Type: Location

  • 2803 KELL RD

    SIGNAL MOUNTAIN, TN 373771020

    Phone: (515) 249-4237

    Type: Mailing

  • 1425 N Randall Rd

    Elgin, IL 601232300

    Phone: (847) 742-9800

    Fax: (224) 783-3002

    Type: Location

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-7335

    Type: Location

  • 3250, Chadbourne Road, Chagrin-Lee, Onaway, Shaker Heights, Cuyahoga County, Ohio, 44120, United States

    SHAKER HEIGHTS, OH 441203377

    Phone: (515) 249-4237

    Type: Mailing

  • 312 W HICKORY ST

    HINSDALE, IL 605213215

    Phone: (515) 249-4237

    Type: Mailing

  • 801 S WASHINGTON ST

    NAPERVILLE, IL 605407430

    Phone: (630) 527-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$17
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: 2014-12-15

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
I20141215001947IAnesthesiologyILTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3232$0
00811Anesthesia for other procedure on large bowel using an endoscope1818$0
00910Anesthesia for other procedure on urinary system through urethra1515$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 37411)

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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: 6305747890View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
-IL
-IL

Reviews

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Frequently asked questions

What is ELIZABETH A JANSEN (D.O.)'s NPI number?
ELIZABETH A JANSEN (D.O.)'s NPI is 1629206644 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ELIZABETH A JANSEN (D.O.)?
For scheduling context, ELIZABETH A JANSEN (D.O.) is shown as active in the registry.
What expertise is attributed to ELIZABETH A JANSEN (D.O.)?
ELIZABETH A JANSEN (D.O.)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Tennessee is ELIZABETH A JANSEN (D.O.) registered?
Use Chattanooga, Tennessee as the headline location for ELIZABETH A JANSEN (D.O.) here.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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