MRS. JENNIFER NICOLE WALLEY (FNP-BC) – Family Nurse Practitioner, NPI 1720300734
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JENNIFER NICOLE WALLEY (FNP-BC)
PO BOX 465
MILLRY, AL 365580465
Phone: (251) 846-3233
Fax: (251) 846-3224
Type: Mailing
73 LONG STREET
MILLRY, AL 365584564
Phone: (251) 846-3233
Fax: (251) 846-3224
Type: Location
951 Matthew Dr Ste A
Waynesboro, MS 393672566
Phone: (601) 735-2401
Fax: (601) 735-5205
Type: Location
951 MATTHEW DR STE A
WAYNESBORO, MS 393672566
Phone: (601) 735-2401
Fax: (601) 735-5205
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABIOMED ($27).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $27 |
| ABBVIE INC. | $15 |
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: 2010-08-20
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 |
|---|---|---|---|---|
| I20100820000003 | I | Nurse Practitioner | MS | 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 |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 23 | 11 | $0 |
Insurance plans in this area (ZIP 36558)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Physician Assistant | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Physician Assistant | MS | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MS | |
| Nurse Practitioner | AL | |
| Internal Medicine, Emergency Medicine | MS | |
| Family Practice, Sports Medicine | MS |
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