JESSICA BOSHAE GLOVER – Psychiatric/Mental Health Nurse Practitioner, NPI 1750070363

JESSICA BOSHAE GLOVER is a healthcare provider. based in Attalla, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-121069 (AL). The NPI Number for JESSICA BOSHAE GLOVER is 1750070363

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA BOSHAE GLOVER
NPI
1750070363
Phone
(256) 490-6081
Address
310 JOHN AVE SE
Enumeration Date
1 May 2023
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342910485
Graduation Year
2022 (4 years ago)
PAC ID
9830557842
Group Practice PAC ID
7416229406
Professional Enrollment ID
I20230623001663
Address ID
AL368697135PH1720XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JESSICA BOSHAE GLOVER

  • 310 JOHN AVE SE

    ATTALLA, AL 359543475

    Phone: (256) 490-6081

    Type: Mailing

  • 940 GILBERT FERRY RD SE STE B

    ATTALLA, AL 359543338

    Phone: (256) 781-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Lilly USA, LLC ($120).

Total Amount

$120

General + Research + Ownership

Payments

1

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$120
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: 2023-06-23

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
I20230623001663INurse 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 35954)

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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: 7416229406View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerTN
-AL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I use this page to confirm JESSICA BOSHAE GLOVER's NPI?
Yes. JESSICA BOSHAE GLOVER is listed with NPI 1750070363 in the public NPI dataset.
Does the file indicate JESSICA BOSHAE GLOVER is practicing under active NPI?
Directory data currently reports JESSICA BOSHAE GLOVER as active.
What is JESSICA BOSHAE GLOVER's specialty?
The listing groups JESSICA BOSHAE GLOVER with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JESSICA BOSHAE GLOVER list a practice location?
Patients near Attalla, Alabama may find JESSICA BOSHAE GLOVER in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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