MS. JENNIFER ANN HEENAN (APNP) – Nurse Practitioner, NPI 1316234362
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for MS. JENNIFER ANN HEENAN (APNP)
5320 W MICHAELS DR
APPLETON, WI 549138446
Phone: (920) 882-8200
Fax: (920) 882-8225
Type: Mailing
100 THEDA CLARK MEDICAL PLZ
STE 400
NEENAH, WI 549562763
Phone: (920) 725-4527
Fax: (920) 729-2378
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $574.
Total Amount is formed as General ($574) + Research ($0) + Ownership ($0) = $574.
Last reported payment date: 2024-06-15 • Largest payer in this snapshot: ABBVIE INC. ($168).
Total Amount
$574
General + Research + Ownership
Payments
24
Total payment records
General Amount
$574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-15
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: 2011-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20111011000730 | I | Nurse Practitioner | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54913)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WI | 20610 | Aspiration and/or injection of large joint or joint capsule | 27 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WV | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| General Surgery, Colorectal Surgery (Proctology), Surgical Oncology, Thoracic Surgery, Vascular Surgery | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| General Surgery | WI | |
| General Surgery | WI |
Reviews
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