JENISA K RYALS (PA-C) – Physician Assistant, NPI 1669568267
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENISA K RYALS (PA-C)
PO BOX 311311
ENTERPRISE, AL 363311311
Phone: (334) 255-7747
Fax: (877) 374-1670
Type: Mailing
1108 ROSS CLARK CIR
DOTHAN, AL 363013022
Phone: (334) 255-7747
Fax: (877) 374-1670
Type: Location
402, Medical Park Drive, Southern Estates, Atmore, Escambia County, Alabama, 36502, United States
ATMORE, AL 365023004
Phone: (251) 368-7974
Fax: (251) 368-5973
Type: Mailing
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 $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Philips Electronics North America Corporation ($35).
Total Amount
$100
General + Research + Ownership
Payments
5
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips Electronics North America Corporation | $35 |
| Grifols USA, LLC | $29 |
| Ethicon US, LLC | $21 |
| PFIZER INC. | $15 |
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: 2007-09-19
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 |
|---|---|---|---|---|
| I20070919000498 | I | Physician Assistant | AL | 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 |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 38 | 38 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 36331)
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