JENNIFER TANNER (PAC) – Medical Physician Assistant, NPI 1215998554

JENNIFER TANNER (PAC) is a healthcare provider. based in The woodlands, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. MA003145L (PA). The NPI Number for JENNIFER TANNER (PAC) is 1215998554

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER TANNER (PAC)
NPI
1215998554
Phone
(877) 749-7428
Address
1776 WOODSTEAD CT STE 208
Enumeration Date
28 March 2006
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7176914996
Graduation Year
1999 (27 years ago)
PAC ID
6608059407
Group Practice PAC ID
3870806615
Professional Enrollment ID
I20110331000178
Address ID
PA170553562ME175XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

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Provider Addresses for JENNIFER TANNER (PAC)

  • 1776 WOODSTEAD CT STE 208

    THE WOODLANDS, TX 773801480

    Phone: (877) 749-7428

    Type: Mailing

  • Encompass Health Rehabilitation Hospital Of Mechanicsburg, 175, Lancaster Boulevard, Mechanicsburg, Cumberland County, Pennsylvania, 17055, United States

    MECHANICSBURG, PA 17055

    Phone: (717) 691-3755

    Fax: (717) 691-3834

    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: 2011-03-31

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
I20110331000178IPhysician AssistantPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,099420$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes984423$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes140136$0
99239Hospital discharge day management, more than 30 minutes124121$0
View full utilization report →

Insurance plans in this area (ZIP 77380)

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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: 3870806615View full group profile
NameSpecialtyState
Physician AssistantPA
Physical Medicine And RehabilitationCT
Physician AssistantPA
Physical Medicine And RehabilitationPA
Physical Medicine And RehabilitationPA

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER TANNER (PAC)?
The federal identifier for JENNIFER TANNER (PAC) is NPI 1215998554.
Is JENNIFER TANNER (PAC)'s NPI currently valid?
The extract we use shows JENNIFER TANNER (PAC) as active.
Does JENNIFER TANNER (PAC) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for JENNIFER TANNER (PAC). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER TANNER (PAC)?
The page summarizes The Woodlands, Texas for JENNIFER TANNER (PAC); expand the address list for detail.
Is JENNIFER TANNER (PAC) a real provider?
This page reflects official NPPES data for NPI 1215998554. Always confirm identity and privileges with the practice and licensing boards.

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