MRS. JENNIFER SAMSON (CRNP) – Nurse Practitioner, NPI 1609253616
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. JENNIFER SAMSON (CRNP)
1722 Pine St Ste 400
Montgomery, AL 361061159
Phone: (205) 356-2021
Fax: (205) 356-2021
Type: Location
100 CONCOURSE PKWY STE 265
HOOVER, AL 352442904
Phone: (205) 453-4195
Fax: (205) 533-7385
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,301.
Total Amount is formed as General ($1,301) + Research ($0) + Ownership ($0) = $1,301.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($222).
Total Amount
$1,301
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $222 |
| Lilly USA, LLC | $106 |
| GENZYME CORPORATION | $94 |
| Novartis Pharmaceuticals Corporation | $85 |
| LEO Pharma Inc. | $81 |
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: 2015-06-08
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 |
|---|---|---|---|---|
| I20150608002012 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,351 | 219 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 560 | 394 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 494 | 225 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 435 | 292 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 427 | 284 | $0 |
Insurance plans in this area (ZIP 36106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AL | |
| D E R M A T O L O G Y | AL | |
| Physician Assistant | AL | |
| - | AL |
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