MRS. JENNIFER MIZZELL SYLESTINE (CRNP) – Family Nurse Practitioner, NPI 1639647225

MRS. JENNIFER MIZZELL SYLESTINE (CRNP) is a healthcare provider. based in Columbiana, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. F05180582 (AL). The NPI Number for MRS. JENNIFER MIZZELL SYLESTINE (CRNP) is 1639647225

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER MIZZELL SYLESTINE (CRNP)
NPI
1639647225
Phone
(205) 669-4884
Address
201 Old Highway 25 E
Enumeration Date
13 November 2018
Last Update Date
16 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562490943
Graduation Year
2015 (11 years ago)
PAC ID
4880935451
Group Practice PAC ID
2567420250
Professional Enrollment ID
I20190408002812
Address ID
AL351502432SY208XXSTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. JENNIFER MIZZELL SYLESTINE (CRNP)

  • 201 Old Highway 25 E

    Columbiana, AL 350519373

    Phone: (205) 669-4884

    Type: Location

  • 465 HEASLETTS VIEW LN

    CHILDERSBURG, AL 350445317

    Phone: (256) 510-0248

    Type: Mailing

  • 208, West Fort Williams Street, Sylacauga, Talladega County, Alabama, 35150, United States

    SYLACAUGA, AL 351502432

    Phone: (256) 249-0943

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($332).

Total Amount

$489

General + Research + Ownership

Payments

44

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2019-04-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190408002812INurse PractitionerALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35051)

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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: 2567420250View full group profile
NameSpecialtyState
Family PracticeAL

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. JENNIFER MIZZELL SYLESTINE (CRNP)?
NPI 1639647225 is assigned to MRS. JENNIFER MIZZELL SYLESTINE (CRNP) under the national enumeration system.
Does this profile mean MRS. JENNIFER MIZZELL SYLESTINE (CRNP) is currently active?
Yes — MRS. JENNIFER MIZZELL SYLESTINE (CRNP) appears active in the national provider directory.
What does MRS. JENNIFER MIZZELL SYLESTINE (CRNP) treat or focus on?
Patients typically see MRS. JENNIFER MIZZELL SYLESTINE (CRNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. JENNIFER MIZZELL SYLESTINE (CRNP)?
The page summarizes Columbiana, Alabama for MRS. JENNIFER MIZZELL SYLESTINE (CRNP); expand the address list for detail.
Is MRS. JENNIFER MIZZELL SYLESTINE (CRNP) a real provider?
This page reflects official NPPES data for NPI 1639647225. Always confirm identity and privileges with the practice and licensing boards.

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