JENNIFER HAGAN MANN (CRNP) – Nurse Practitioner, NPI 1063644623
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for JENNIFER HAGAN MANN (CRNP)
564 N Memorial Dr
Prattville, AL 360672132
Phone: (334) 358-2010
Fax: (334) 358-2013
Type: Location
213 LIGHTWOOD RD STE 1
DEATSVILLE, AL 360223800
Phone: (334) 543-4164
Fax: (334) 543-4165
Type: Location
564, North Memorial Drive, Prattville, Autauga County, Alabama, 36067, United States
PRATTVILLE, AL 360672132
Phone: (334) 358-2010
Fax: (334) 358-2013
Type: Mailing
8502 HOLTVILLE RD
WETUMPKA, AL 360927664
Phone: (334) 543-4164
Fax: (334) 543-4165
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,537.
Total Amount is formed as General ($1,537) + Research ($0) + Ownership ($0) = $1,537.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($324).
Total Amount
$1,537
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,537
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $324 |
| Astellas Pharma US Inc | $261 |
| Amgen Inc. | $140 |
| Novo Nordisk Inc | $136 |
| Medtronic, Inc. | $97 |
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: 2009-12-14
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 |
|---|---|---|---|---|
| I20091214000260 | 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 |
|---|---|---|---|---|
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 277 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 192 | 94 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 146 | 31 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 137 | 59 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 94 | 57 | $0 |
Insurance plans in this area (ZIP 36067)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AL | 90670 | Pneumococcal vaccine for injection into muscle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL |
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