JENNIFER YEALY (PA-C) – Physician Assistant, NPI 1912365347
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER YEALY (PA-C)
200 Memorial Dr
Luray, VA 228351000
Phone: (540) 743-4561
Type: Location
3777, Southeast Naef Road, Concord, Portland, Metro, Clackamas County, Oregon, 97267, United States
PORTLAND, OR 972083777
Phone: (503) 413-3900
Fax: (503) 413-3710
Type: Mailing
Memorial Drive, Forest Hills, Luray, Page County, Virginia, 22835, United States
LURAY, VA 22835
Phone: (540) 743-4561
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: 2021-08-18
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 |
|---|---|---|---|---|
| I20180827003463 | I | Physician Assistant | OR | TBD |
| I20210818003129 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 61 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 18 | 18 | $0 |
| 81003 | Automated urinalysis test | 15 | 14 | $0 |
Insurance plans in this area (ZIP 22835)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| Vascular Surgery, General Surgery | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| Critical Care (Intensivists) | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| - | OR |
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