JENNIFER P KING (PA-C) – Medical Physician Assistant, NPI 1962641530
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER P KING (PA-C)
229 Interstate Dr
Suite 103
Crossville, TN 385552709
Phone: (931) 210-5577
Fax: (931) 210-5575
Type: Location
229, Interstate Drive, Crossville, Cumberland County, Tennessee, 38555, United States
SUITE 103
CROSSVILLE, TN 385552709
Phone: (931) 210-5577
Fax: (931) 210-5575
Type: Mailing
100, South Duncan Street, Jamestown, Fentress County, Tennessee, 38556, United States
JAMESTOWN, TN 385563009
Phone: (931) 879-5864
Fax: (931) 879-3903
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $382.
Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: ABBVIE INC. ($133).
Total Amount
$382
General + Research + Ownership
Payments
21
Total payment records
General Amount
$382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $133 |
| Bayer Healthcare Pharmaceuticals Inc. | $112 |
| Amgen Inc. | $46 |
| Insulet Corporation | $19 |
| Novo Nordisk Inc | $17 |
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: 2009-04-30
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 |
|---|---|---|---|---|
| I20090430000177 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38555)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TN | 81002 | Urinalysis, manual test | 27 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | ID | |
| Internal Medicine | TN |
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