JERELYN H TILLER (NP) – Adult Health Nurse Practitioner, NPI 1033652581

JERELYN H TILLER (NP) is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1139395 (AL). The NPI Number for JERELYN H TILLER (NP) is 1033652581

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JERELYN H TILLER (NP)
NPI
1033652581
Phone
Not provided
Address
1130 22ND ST S
Enumeration Date
30 November 2016
Last Update Date
30 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563312700
Graduation Year
2016 (10 years ago)
PAC ID
1355622150
Group Practice PAC ID
3476878489
Professional Enrollment ID
I20170111000080
Address ID
AL356531969RU1522543XX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JERELYN H TILLER (NP)

  • 1130 22ND ST S

    RIDGE PARK PLACE, SUITE 1000

    BIRMINGHAM, AL 352052870

    Phone:

    Type: Mailing

  • 2800 ALLISON BONNETT MEMORIAL DR

    HUEYTOWN, AL 350231845

    Phone: (205) 744-4410

    Fax: (205) 744-6150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($179).

Total Amount

$319

General + Research + Ownership

Payments

7

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-01-11

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
I20170111000080INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes23558$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes18255$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4636$0
99497Advance care planning, first 30 minutes2323$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes2113$0
View full utilization report →

Insurance plans in this area (ZIP 35205)

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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: 3476878489View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Orthopedic SurgeryAL
Psychiatry, Geriatric PsychiatryAL
Hospice/Palliative Care, Geriatric MedicineTN
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the registry number for JERELYN H TILLER (NP)?
The registry entry for JERELYN H TILLER (NP) shows NPI 1033652581.
Does the public listing show JERELYN H TILLER (NP) as active?
JERELYN H TILLER (NP)'s NPI record reflects an active status in NPPES.
What services align with JERELYN H TILLER (NP)'s listing?
JERELYN H TILLER (NP)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JERELYN H TILLER (NP)?
JERELYN H TILLER (NP) is associated with Birmingham, Alabama in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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