JESSICA C BABCOCK (CRNP) – Nurse Practitioner, NPI 1013808971

JESSICA C BABCOCK (CRNP) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-119264 (AL). The NPI Number for JESSICA C BABCOCK (CRNP) is 1013808971

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JESSICA C BABCOCK (CRNP)
NPI
1013808971
Phone
(334) 387-0648
Address
185 MITYLENE PARK LN
Enumeration Date
10 July 2025
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3343879900
Graduation Year
2025 (1 year ago)
PAC ID
3577071687
Group Practice PAC ID
3476568494
Professional Enrollment ID
I20250731003323
Address ID
AL361177302MO185XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JESSICA C BABCOCK (CRNP)

  • 185 MITYLENE PARK LN

    MONTGOMERY, AL 361177302

    Phone: (334) 387-0648

    Fax: (334) 387-0955

    Mailing address matches the actual address.

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: 2025-07-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250731003323INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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 36117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476568494View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)AL
-AL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JESSICA C BABCOCK (CRNP)?
JESSICA C BABCOCK (CRNP) — NPI 1013808971 — is the standard way to identify this listing.
Is JESSICA C BABCOCK (CRNP) still practicing?
JESSICA C BABCOCK (CRNP) is currently listed as active in the public NPI registry.
What is JESSICA C BABCOCK (CRNP) best known for clinically?
Directory data describes JESSICA C BABCOCK (CRNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JESSICA C BABCOCK (CRNP) based?
JESSICA C BABCOCK (CRNP) is tied to Montgomery, Alabama in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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