JENNIFER FAVILLA (FNP) – Family Nurse Practitioner, NPI 1568879377
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
596 NURSE PRACTITIONER in WY
Provider Addresses for JENNIFER FAVILLA (FNP)
7124 COMMONS DR
UNIT C
CHEYENNE, WY 820092620
Phone: (307) 632-8064
Type: Mailing
PO BOX 20970
CHEYENNE, WY 820037020
Phone: (307) 996-4777
Type: Mailing
800 E 20TH ST STE 300
CHEYENNE, WY 820013882
Phone: (307) 633-7444
Fax: (307) 996-1595
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Novo Nordisk Inc ($37).
Total Amount
$88
General + Research + Ownership
Payments
5
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $37 |
| Amgen Inc. | $23 |
| Lilly USA, LLC | $14 |
| GlaxoSmithKline, LLC. | $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: 2015-01-09
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 |
|---|---|---|---|---|
| I20150109000010 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 82009)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | WY |
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