MRS. JENNIFER LYNN WILBORN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1417942830

MRS. JENNIFER LYNN WILBORN (CRNA) is a healthcare provider. based in Boaz, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-076095 (AL). The NPI Number for MRS. JENNIFER LYNN WILBORN (CRNA) is 1417942830

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER LYNN WILBORN (CRNA)
NPI
1417942830
Phone
(256) 593-7614
Address
2580 BRUCE RD
Enumeration Date
12 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565938310
Graduation Year
2002 (24 years ago)
PAC ID
0749453231
Group Practice PAC ID
0648534495
Professional Enrollment ID
I20111027000936
Address ID
AL359575908BO2505X431X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

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Provider Addresses for MRS. JENNIFER LYNN WILBORN (CRNA)

  • 2580, Bruce Road, Boaz, Marshall County, Alabama, 35957, United States

    BOAZ, AL 359575063

    Phone: (256) 593-7614

    Type: Mailing

  • 431, East Highway, Boaz, Marshall County, Alabama, 35957, United States

    MMCS ANESTHESIA

    BOAZ, AL 359575908

    Phone: (256) 840-3512

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($102).

Total Amount

$176

General + Research + Ownership

Payments

10

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-10-27

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
I20111027000936ICertified Registered Nurse Anesthetist (Crna)ALTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 35957)

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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: 0648534495View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)LA
-AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)TN
-AL

Reviews

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Frequently asked questions

Does MRS. JENNIFER LYNN WILBORN (CRNA) have a public NPI I can cite?
Public records show MRS. JENNIFER LYNN WILBORN (CRNA) under NPI 1417942830.
Quick check: is MRS. JENNIFER LYNN WILBORN (CRNA) active?
Public NPPES data shows MRS. JENNIFER LYNN WILBORN (CRNA) with an active NPI status right now.
What does the directory say MRS. JENNIFER LYNN WILBORN (CRNA) does?
Insurance directories may phrase it differently, but here MRS. JENNIFER LYNN WILBORN (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. JENNIFER LYNN WILBORN (CRNA) in Boaz, Alabama?
For routing, start with Boaz, Alabama for MRS. JENNIFER LYNN WILBORN (CRNA), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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