JESSICA E POITEVINT (CRNP) – Family Nurse Practitioner, NPI 1063925626

JESSICA E POITEVINT (CRNP) is a healthcare provider. based in Troy, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-116339 (AL). The NPI Number for JESSICA E POITEVINT (CRNP) is 1063925626

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA E POITEVINT (CRNP)
NPI
1063925626
Phone
(334) 670-6726
Address
1414 ELBA HWY
Enumeration Date
6 November 2017
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3343935437
Graduation Year
2017 (9 years ago)
PAC ID
7315201407
Group Practice PAC ID
8123009057
Professional Enrollment ID
I20180425001058
Address ID
AL363302511EN105XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for JESSICA E POITEVINT (CRNP)

  • 1414, Elba Highway, Forest Acres Mobile Home Park, Troy, Pike County, Alabama, 36079, United States

    TROY, AL 360796020

    Phone: (334) 670-6726

    Fax: (334) 670-6731

    Type: Mailing

  • 105, East Watts Street, Hillcrest, Enterprise, Coffee County, Alabama, 36330, United States

    ENTERPRISE, AL 363302511

    Phone: (334) 393-5437

    Fax: (334) 393-4185

    Type: Location

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: 2018-04-25

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
I20180425001058INurse 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 36079)

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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: 8123009057View full group profile

Reviews

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Frequently asked questions

Can I cross-check JESSICA E POITEVINT (CRNP) using NPI 1063925626?
NPI 1063925626 belongs to JESSICA E POITEVINT (CRNP); compare other details if you need extra assurance.
Active or inactive — what applies to JESSICA E POITEVINT (CRNP)?
You should see JESSICA E POITEVINT (CRNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for JESSICA E POITEVINT (CRNP)?
At a glance, JESSICA E POITEVINT (CRNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JESSICA E POITEVINT (CRNP) located near Troy?
JESSICA E POITEVINT (CRNP) currently maps to Troy, Alabama in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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