MRS. JENNIE VANDENHOUTEN AGPCNP-BC
NPI 1730596743
Nurse Practitioner - Adult Health in Savannah, GA

Q: What is Jennie Vandenhouten's NPI number?

The NPI number for Jennie Vandenhouten is 1730596743. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Q: What is Jennie Vandenhouten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since July 22, 2014PECOS EnrolledAccepts Medicare Assignment

900 MOHAWK ST STE E, SAVANNAH, GA 31419(912) 925-0067 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2021, Nov 17, 2016 (2 updates tracked since 2016).

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About Mrs. Jennie Vandenhouten Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIE VANDENHOUTEN AGPCNP-BC (NPI 1730596743) is an individual adult health provider in Savannah, Georgia, licensed in Georgia (RN183462) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Savannah, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730596743

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. JENNIE VANDENHOUTENCredential: AGPCNP-BC

Location Address900 MOHAWK ST STE ESavannah, GA 31419-1768

Mailing Address900 Mohawk St, Ste ESavannah, GA 31419-1768 · (912) 925-0067 · Fax (912) 925-2381

Phone(912) 925-0067

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 22, 2014

Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1730596743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · RN183462

900 MOHAWK ST STE E, Savannah, GA 31419

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Secondary Practice Location 1

Location 1106 E Broad StSavannah, GA 31401-2917 · Phone (912) 527-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennie Vandenhouten Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608157938

PECOS Enrollment IDI20161229000326

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jennie Vandenhouten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sidney P Smith MD PC

Same address

Dermatology

900 MOHAWK ST, E
Savannah, GA 31419

Reassigned Medicare billing, Georgia and South Carolina enrollments
14 clinicians in this Medicare group

NPI 1427039254 (912) 925-0067

Georgia Dermatology & Skin Cancer Center, LLC

111 mi

Dermatology

2400 BELLEVUE RD, 16 ERIN OFFICE PARK
Dublin, GA 31021

Reassigned Medicare billing, Georgia enrollment
33 clinicians in this Medicare group

NPI 1063460459 (478) 328-0281

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

317 services125 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

314 services244 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

229 services190 patients

Amnioarmor, per square centimeter Q4188

AmnioArmor is a type of advanced wound care. It involves the application of a special, bioactive tissue matrix that aids in healing. This matrix is measured per square centimeter, indicating the size of the wound area being treated. It's a safe, effective method to promote wound recovery.

193 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

106 services92 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

91 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

70 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

55 services55 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

36 services33 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

32 services21 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

27 services21 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

25 services15 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

16 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31419 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

12%204 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

98%4,239 patients4/55-star benchmark: 100%

Melanoma: Continuity of Care - Recall System

100%105 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 53% · 975 patients

Patients screened: 90% · 975 patients

5%74 patients1/55-star benchmark: 100%

Psoriasis: Clinical Response to Systemic Medications

89%130 patients

Psoriasis: Screening for Psoriatic Arthritis

97%368 patients4/55-star benchmark: 100%

Skin Cancer: Biopsy Reporting Time - Clinician to Patient

0%444 patients1/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

89%389 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN C PENROSE NP

Nurse Practitioner (Family)