JENNA MADSEN (D.O.) – Obstetrics & Gynecology Physician, NPI 1063851343

JENNA MADSEN (D.O.) is a healthcare provider. based in Lehi, Utah. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. DR.0064573 (CO). The NPI Number for JENNA MADSEN (D.O.) is 1063851343

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNA MADSEN (D.O.)
NPI
1063851343
Phone
(801) 653-2757
Address
3401 N CENTER ST STE 150
Enumeration Date
19 June 2013
Last Update Date
23 May 2023

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
3032802229
Graduation Year
2013 (13 years ago)
PAC ID
4183985351
Group Practice PAC ID
4587759972
Professional Enrollment ID
I20210406001744
Address ID
CO802294388TH9195XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

357 OBSTETRICS/GYNECOLOGY in UT

Provider Addresses for JENNA MADSEN (D.O.)

  • 3401 N CENTER ST STE 150

    LEHI, UT 840437501

    Phone: (801) 653-2757

    Fax: (801) 653-2474

    Type: Mailing

  • 9195 GRANT ST STE 410

    THORNTON, CO 802294388

    Phone: (303) 280-2229

    Fax: (303) 280-0765

    Type: Mailing

  • 9195 GRANT ST STE 140

    THORNTON, CO 802294385

    Phone: (303) 280-2229

    Fax: (303) 280-0765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $448.

Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($90).

Total Amount

$448

General + Research + Ownership

Payments

18

Total payment records

General Amount

$448

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2021-04-06

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
I20210406001744IObstetrics/GynecologyCOTBD

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 84043)

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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: 4587759972View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
Certified Nurse Midwife (Cnm)CO
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO

Reviews

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Frequently asked questions

How do I look up JENNA MADSEN (D.O.) by NPI?
Use NPI 1063851343 when you need to reference JENNA MADSEN (D.O.) in forms, claims, or directories.
Is JENNA MADSEN (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JENNA MADSEN (D.O.)?
The page reflects Obstetrics & Gynecology Physician for JENNA MADSEN (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place JENNA MADSEN (D.O.)?
The snapshot lists Lehi, Utah for JENNA MADSEN (D.O.); download NPPES for the complete set.
Is JENNA MADSEN (D.O.) a real provider?
This page reflects official NPPES data for NPI 1063851343. Always confirm identity and privileges with the practice and licensing boards.

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