JENNIFER J FRITCH (PA) – Physician Assistant, NPI 1194890590
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
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Provider Addresses for JENNIFER J FRITCH (PA)
428, Works Road, Jackson, Waldo County, Maine, United States
JACKSON, WY 830010428
Phone: (307) 739-8999
Fax: (307) 739-4811
Type: Mailing
1415, South Highway 89, Jackson, Teton County, Wyoming, 83001, United States
JACKSON, WY 830018515
Phone: (307) 739-8999
Fax: (307) 739-4811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $375.
Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GENZYME CORPORATION ($239).
Total Amount
$375
General + Research + Ownership
Payments
9
Total payment records
General Amount
$375
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $239 |
| ABBVIE INC. | $101 |
| Janssen Biotech, Inc. | $22 |
| UCB, Inc. | $14 |
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: 2009-03-09
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 |
|---|---|---|---|---|
| I20090309000319 | I | Physician Assistant | WY | 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 | 1,173 | 177 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 226 | 200 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 184 | 172 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 164 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 142 | 80 | $0 |
Insurance plans in this area (ZIP 83001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WY | 81002 | Urinalysis, manual test | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AZ |
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