JENNA B MAZOUR (APRN,CNP) – Family Nurse Practitioner, NPI 1043661978
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
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Provider Addresses for JENNA B MAZOUR (APRN,CNP)
St. Croix Regional Medical Center, 235, East State Street, St. Croix Falls, Polk County, Wisconsin, 54024, United States
SAINT CROIX FALLS, WI 540244117
Phone: (715) 483-3221
Fax: (715) 483-0507
Type: Mailing
1702 UNIVERSITY DR S
FARGO, ND 581034940
Phone:
Fax: (715) 483-0507
Type: Mailing
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
Phone: (218) 844-2347
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($72).
Total Amount
$260
General + Research + Ownership
Payments
16
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-09-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20160912001929 | I | Nurse Practitioner | WI | TBD |
| I20170109001904 | I | Nurse Practitioner | MN | TBD |
| I20200902003589 | I | Nurse Practitioner | ND | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 348 | 69 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 142 | 118 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 122 | 98 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 90 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 65 | $0 |
Insurance plans in this area (ZIP 54024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ND | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | ND | |
| Family Practice, Emergency Medicine | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | MN | |
| O P T O M E T R Y | MN | |
| P O D I A T R Y | MN |
Reviews
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