JENNIFER KANNAN (PA-C) – Hospitalist Physician, NPI 1083659189

JENNIFER KANNAN (PA-C) is a healthcare provider. based in Warrenton, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110005279 (VA). The NPI Number for JENNIFER KANNAN (PA-C) is 1083659189

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER KANNAN (PA-C)
NPI
1083659189
Phone
(540) 316-5000
Address
500 Hospital Dr
Enumeration Date
20 June 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033913558
Graduation Year
2005 (21 years ago)
PAC ID
9436178720
Group Practice PAC ID
1052419868
Professional Enrollment ID
I20161210000136
Address ID
VA220331709FA3600XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for JENNIFER KANNAN (PA-C)

  • 500 Hospital Dr

    Warrenton, VA 201863027

    Phone: (540) 316-5000

    Type: Location

  • Paducah Post Office, South 4th Street, Paducah, McCracken County, Kentucky, 42003, United States

    PADUCAH, KY 420029150

    Phone: (270) 744-9600

    Fax: (270) 744-8647

    Type: Mailing

  • Inova Fair Oaks Hospital, 3600, Joseph Siewick Drive, Chantilly, Fairfax (city), Virginia, 22033, United States

    FAIRFAX, VA 220331709

    Phone: (703) 391-3558

    Fax: (703) 391-3441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-03-08 • Largest payer in this snapshot: ALK-Abello, Inc ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ALK-Abello, Inc$37
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: 2017-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161210000136IPhysician AssistantDCTBD
I20170615002062IPhysician AssistantVATBD

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 20186)

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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: 1052419868View full group profile
NameSpecialtyState
Internal Medicine, Hospitalist, Internal MedicineVA
Nurse PractitionerVA
Nurse PractitionerVA
Internal MedicineVA
Internal MedicineVA
Hospitalist, Internal Medicine, Internal MedicineSC
Hospitalist, Internal MedicineVA
Internal MedicineTX
Internal MedicineRI
Internal MedicineVA

Reviews

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Frequently asked questions

What identifier follows JENNIFER KANNAN (PA-C) across health systems?
The NPI 1083659189 uniquely identifies JENNIFER KANNAN (PA-C) in U.S. healthcare data.
Is JENNIFER KANNAN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER KANNAN (PA-C) as active.
How should patients interpret JENNIFER KANNAN (PA-C)'s specialty?
The extract shows Hospitalist Physician for JENNIFER KANNAN (PA-C). Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER KANNAN (PA-C) in Warrenton, Virginia?
For routing, start with Warrenton, Virginia for JENNIFER KANNAN (PA-C), then verify phone and hours locally.
Can I export JENNIFER KANNAN (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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