KEEGEN JONELLE BARBOO (PA-C) – Physician Assistant, NPI 1710524079

KEEGEN JONELLE BARBOO (PA-C) is a healthcare provider. based in Montgomery, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA13217 (TX). The NPI Number for KEEGEN JONELLE BARBOO (PA-C) is 1710524079

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KEEGEN JONELLE BARBOO (PA-C)
NPI
1710524079
Phone
(936) 588-3514
Address
920 Pine Market Ave Ste 100
Enumeration Date
5 December 2019
Last Update Date
29 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2816020450
Graduation Year
2019 (7 years ago)
PAC ID
0446641427
Group Practice PAC ID
4880071679
Professional Enrollment ID
I20211230000428
Address ID
TX773864632SP4057XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for KEEGEN JONELLE BARBOO (PA-C)

  • 920 Pine Market Ave Ste 100

    Montgomery, TX 773165023

    Phone: (936) 588-3514

    Type: Location

  • 94 N COCHRANS GREEN CIR

    THE WOODLANDS, TX 773816210

    Phone: (808) 391-2698

    Type: Mailing

  • 6022 FARM TO MARKET RD

    1488

    MAGNOLIA, TX 77354

    Phone: (281) 583-1980

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $503.

Total Amount is formed as General ($503) + Research ($0) + Ownership ($0) = $503.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($452).

Total Amount

$503

General + Research + Ownership

Payments

20

Total payment records

General Amount

$503

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2021-12-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211230000428IPhysician AssistantTXTBD

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 77316)

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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: 4880071679View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerNY
Nurse PractitionerMO
Nurse PractitionerTX
Nurse PractitionerNM
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEEGEN JONELLE BARBOO (PA-C)?
KEEGEN JONELLE BARBOO (PA-C) — NPI 1710524079 — is the standard way to identify this listing.
Does CMS list KEEGEN JONELLE BARBOO (PA-C) as active?
Yes — KEEGEN JONELLE BARBOO (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes KEEGEN JONELLE BARBOO (PA-C)?
For research purposes, treat KEEGEN JONELLE BARBOO (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does KEEGEN JONELLE BARBOO (PA-C) list a practice location?
Patients near Montgomery, Texas may find KEEGEN JONELLE BARBOO (PA-C) in results; validate coverage separately.
Is the information about KEEGEN JONELLE BARBOO (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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