JENNIFER A LUNCEFORD (PA) – Physician Assistant, NPI 1891724282
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JENNIFER A LUNCEFORD (PA)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752841656
Phone: (903) 531-5000
Type: Mailing
Trinity Mother Francis Hospital - Jacksonville, 2026, South Jackson Street, Jacksonville, Cherokee County, Texas, 75766, United States
JACKSONVILLE, TX 757665822
Phone: (903) 586-5678
Fax: (903) 541-4679
Type: Location
108 PENNY LN
ATHENS, TX 757513244
Phone: (903) 386-3386
Type: Mailing
1730 B F TERRY BLVD STE 302
ROSENBERG, TX 774715535
Phone: (866) 989-2873
Fax: (713) 568-3313
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-05-06
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040506001054 | I | Physician Assistant | TX | 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 75284)
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