MS. JENNIFER JANE MCCORMICK (PA) – Medical Physician Assistant, NPI 1669423323
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
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Provider Addresses for MS. JENNIFER JANE MCCORMICK (PA)
670, Cormier Road, Ashwaubenon, Brown County, Wisconsin, 54304, United States
GREEN BAY, WI 543044824
Phone: (920) 494-9685
Type: Mailing
300, North Commercial Street, Neenah, Winnebago County, Wisconsin, 54956, United States
SUITE 200
NEENAH, WI 549562619
Phone: (920) 886-0818
Fax: (920) 886-0773
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $743.
Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($149).
Total Amount
$743
General + Research + Ownership
Payments
38
Total payment records
General Amount
$743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $149 |
| Otsuka America Pharmaceutical, Inc. | $113 |
| Amgen Inc. | $84 |
| Aurinia Pharma U.S., Inc. | $73 |
| OPKO Pharmaceuticals, LLC | $41 |
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: 2005-10-20
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 |
|---|---|---|---|---|
| I20051020000425 | I | Physician Assistant | 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 54304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nephrology, General Practice | WI | |
| Nurse Practitioner | WI | |
| Nephrology, Internal Medicine | WI | |
| Internal Medicine, Nephrology | WI | |
| Nephrology, Internal Medicine | NY | |
| Nurse Practitioner | WI |
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