MS. JENNA KANOELANI WONG – Family Medicine Physician, NPI 1417416785
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,137 FAMILY PRACTICE in UT
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Provider Addresses for MS. JENNA KANOELANI WONG
475, West 940 North, North Park, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846043301
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,157.
Total Amount is formed as General ($1,157) + Research ($0) + Ownership ($0) = $1,157.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($462).
Total Amount
$1,157
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $462 |
| Otsuka America Pharmaceutical, Inc. | $161 |
| Novo Nordisk Inc | $154 |
| Lilly USA, LLC | $149 |
| AstraZeneca Pharmaceuticals LP | $41 |
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: 2022-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200826002684 | I | Family Practice | UT | TBD |
| I20220603000242 | I | Family Practice | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| - | VA | |
| Certified Nurse Midwife (Cnm) | NC | |
| Nurse Practitioner | AE | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Internal Medicine | PA | |
| Nurse Practitioner | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Gastroenterology, Internal Medicine, Internal Medicine | VA | |
| - | VA | |
| Nurse Practitioner | MD |
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