MRS. JESSICA NICOLE BROCK (CRNP) – Acute Care Nurse Practitioner, NPI 1053540450
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MRS. JESSICA NICOLE BROCK (CRNP)
8725 County Road 64
Daphne, AL 365266061
Phone: (251) 625-1370
Fax: (251) 625-1380
Type: Location
141 Tuscaloosa St
Mobile, AL 366073422
Phone: (251) 433-3344
Fax: (251) 433-4052
Type: Location
Mobile Post Office, 250, Saint Joseph Street, Downtown, Mobile County Commission District 1, Mobile, Mobile County, Alabama, 36601, United States
MOBILE, AL 366700987
Phone: (251) 633-0573
Fax: (251) 633-7367
Type: Mailing
Airport Boulevard, Huntleigh Woods, Mobile, Mobile County, Alabama, 36685, United States
MOBILE, AL 36608
Phone: (251) 633-0573
Fax: (251) 633-7367
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($36).
Total Amount
$83
General + Research + Ownership
Payments
4
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-08-20
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 |
|---|---|---|---|---|
| I20090820000078 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 555 | 224 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 118 | 71 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 76 | 63 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 57 | 54 | $0 |
| 99291 | Critical care, first 30-74 minutes | 36 | 26 | $0 |
Insurance plans in this area (ZIP 36526)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AL | 71010 | X-ray of chest, 1 view, front | 20 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pulmonary Disease | AL | |
| Nurse Practitioner | AL | |
| Pulmonary Disease, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Sleep Medicine, Critical Care (Intensivists), Pulmonary Disease | AL | |
| Pulmonary Disease, Critical Care (Intensivists) | AL | |
| Nurse Practitioner | AL | |
| Pulmonary Disease, Critical Care (Intensivists) | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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