MRS. JENNIFER NICOLE ODOM (NP) – Acute Care Nurse Practitioner, NPI 1255761938

MRS. JENNIFER NICOLE ODOM (NP) is a healthcare provider. based in Foley, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-133663 (AL). The NPI Number for MRS. JENNIFER NICOLE ODOM (NP) is 1255761938

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER NICOLE ODOM (NP)
NPI
1255761938
Phone
(251) 949-3479
Address
1613 N MCKENZIE ST
Enumeration Date
18 November 2013
Last Update Date
10 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2519493400
Graduation Year
2019 (7 years ago)
PAC ID
4385970730
Group Practice PAC ID
5193741759
Professional Enrollment ID
I20190724000320
Address ID
AL365352247FO1613XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. JENNIFER NICOLE ODOM (NP)

  • 1613 N MCKENZIE ST

    FOLEY, AL 365352247

    Phone: (251) 949-3479

    Fax: (251) 949-3434

    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: 2019-07-24

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
I20190724000320INurse 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
99291Critical care, first 30-74 minutes8534$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7638$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4319$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
99239Hospital discharge day management, more than 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 36535)

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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: 5193741759View full group profile

Reviews

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Frequently asked questions

How do I look up MRS. JENNIFER NICOLE ODOM (NP) by NPI?
Use NPI 1255761938 when you need to reference MRS. JENNIFER NICOLE ODOM (NP) in forms, claims, or directories.
Is MRS. JENNIFER NICOLE ODOM (NP) currently active in the NPI registry?
CMS-published data lists MRS. JENNIFER NICOLE ODOM (NP) as an active registrant.
Does MRS. JENNIFER NICOLE ODOM (NP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for MRS. JENNIFER NICOLE ODOM (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. JENNIFER NICOLE ODOM (NP)?
The page summarizes Foley, Alabama for MRS. JENNIFER NICOLE ODOM (NP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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