DR. JENNIFER MARY PLYMALE (M.D.) – Pediatric Cardiology Physician, NPI 1265456008

DR. JENNIFER MARY PLYMALE (M.D.) is a healthcare provider. based in Spokane, Washington. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 52640-20 (WI). The NPI Number for DR. JENNIFER MARY PLYMALE (M.D.) is 1265456008

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER MARY PLYMALE (M.D.)
NPI
1265456008
Phone
(509) 747-6707
Address
101 W 8TH AVE
Enumeration Date
26 July 2006
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2088824511
Graduation Year
2004 (22 years ago)
PAC ID
2466544424
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20140414000082
Address ID
ID838433056MO700XXSTXX400

Contacts

Secure Messaging
jplymale306950@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

648 PEDIATRIC MEDICINE in WA

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Provider Addresses for DR. JENNIFER MARY PLYMALE (M.D.)

  • Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States

    SUITE 4300

    SPOKANE, WA 992042307

    Phone: (509) 747-6707

    Fax: (509) 227-7070

    Type: Location

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (509) 747-6707

    Type: Mailing

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 $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Medtronic, Inc. ($76).

Total Amount

$114

General + Research + Ownership

Payments

2

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

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: 2014-04-14

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
I20130822000097IPediatric MedicineWATBD
I20140414000082IPediatric MedicineIDTBD

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 99204)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. JENNIFER MARY PLYMALE (M.D.) across health systems?
The NPI 1265456008 uniquely identifies DR. JENNIFER MARY PLYMALE (M.D.) in U.S. healthcare data.
Does the public listing show DR. JENNIFER MARY PLYMALE (M.D.) as active?
DR. JENNIFER MARY PLYMALE (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. JENNIFER MARY PLYMALE (M.D.)'s listing?
DR. JENNIFER MARY PLYMALE (M.D.)'s public classification highlights Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JENNIFER MARY PLYMALE (M.D.)?
DR. JENNIFER MARY PLYMALE (M.D.) shows a connection to Spokane, Washington in registry-derived data.
Can I export DR. JENNIFER MARY PLYMALE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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