MS. JACQUELINE DENISE ROSS (CRNP) – Adult Health Nurse Practitioner, NPI 1578118048
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for MS. JACQUELINE DENISE ROSS (CRNP)
Selma, Brzeziny, Białołęka, Warsaw, Masovian Voivodeship, 03-287, Poland
SELMA, AL 367016764
Phone: (334) 874-7428
Type: Location
PO BOX 11087
MONTGOMERY, AL 361110087
Phone: (334) 481-1599
Fax: (334) 356-1426
Type: Mailing
108 N PARK DR
FAYETTEVILLE, GA 302141645
Phone: (770) 487-7807
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $1,131.
Total Amount is formed as General ($1,131) + Research ($0) + Ownership ($0) = $1,131.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ViiV Healthcare Company ($504).
Total Amount
$1,131
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,131
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $504 |
| Gilead Sciences, Inc. | $366 |
| Merck Sharp & Dohme LLC | $260 |
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: 2023-12-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200929002106 | I | Nurse Practitioner | AL | TBD |
| I20231228003099 | I | Nurse Practitioner | GA | 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 | 25 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 14 | $0 |
Insurance plans in this area (ZIP 36701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Diagnostic Radiology | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Allergy/Immunology | GA | |
| General Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA |
Reviews
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