MRS. JAWANEKA P ELLERSON (AG NPC) – Gerontology Nurse Practitioner, NPI 1396276127
Gerontology 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. JAWANEKA P ELLERSON (AG NPC)
PO BOX 11087
MONTGOMERY, AL 361110087
Phone: (334) 481-1599
Fax: (334) 281-2308
Type: Mailing
2900 MCGEHEE RD
MONTGOMERY, AL 361112151
Phone: (334) 280-3349
Fax: (334) 281-2308
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,222.
Total Amount is formed as General ($1,222) + Research ($0) + Ownership ($0) = $1,222.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ViiV Healthcare Company ($641).
Total Amount
$1,222
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $641 |
| Janssen Biotech, Inc. | $128 |
| Theratechnologies Inc. | $114 |
| Gilead Sciences, Inc. | $105 |
| Dexcom, Inc. | $104 |
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: 2017-07-13
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 |
|---|---|---|---|---|
| I20170713001341 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospice/Palliative Care, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | AL | |
| Mental Health Counselor | AL | |
| Nurse Practitioner | AL |
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