CERRA JORDAN JACKSON (CRNP) – Primary Care Nurse Practitioner, NPI 1316585219
Primary Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for CERRA JORDAN JACKSON (CRNP)
5710 WATERMELON ROAD SUITE 600
NORTHPORT, AL 35473
Phone: (205) 345-6272
Type: Mailing
5710 WATERMELON ROAD, SUITE 600
NORTHPORT, AL 35473
Phone:
Type: Location
22335 US HIGHWAY 72 STE C
ATHENS, AL 356132611
Phone: (256) 870-4111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 141 Open Payments records for all available years, with a total value of $2,384.
Total Amount is formed as General ($2,384) + Research ($0) + Ownership ($0) = $2,384.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($726).
Total Amount
$2,384
General + Research + Ownership
Payments
141
Total payment records
General Amount
$2,384
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
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: 2021-09-17
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 |
|---|---|---|---|---|
| I20210917001785 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 149 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 74 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 131 | 37 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 120 | 12 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 104 | 22 | $0 |
Insurance plans in this area (ZIP 35473)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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