DONNA JEAN ROLLINS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124370523

DONNA JEAN ROLLINS (PMHNP-BC) is a healthcare provider. based in Homer, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1477 (AK). The NPI Number for DONNA JEAN ROLLINS (PMHNP-BC) is 1124370523

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DONNA JEAN ROLLINS (PMHNP-BC)
NPI
1124370523
Phone
(907) 235-7202
Address
4251 BARTLETT ST
Enumeration Date
9 October 2012
Last Update Date
12 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072358101
Graduation Year
2012 (14 years ago)
PAC ID
4284885856
Group Practice PAC ID
5395636930
Professional Enrollment ID
I20150310002092
Address ID
AK996037005HO4300XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

761 NURSE PRACTITIONER in AK

Provider Addresses for DONNA JEAN ROLLINS (PMHNP-BC)

  • 4251 BARTLETT ST

    HOMER, AK 996037006

    Phone: (907) 235-7202

    Fax: (907) 235-7228

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-03-10

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
I20150310002092INurse PractitionerAKTBD

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 99603)

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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: 5395636930View full group profile
NameSpecialtyState
Internal MedicineAK
Family PracticeNC
Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YAK
-AK
Cardiovascular Disease (Cardiology)AK
Family Practice, HospitalistMT
Cardiovascular Disease (Cardiology), Internal MedicineAK
Family PracticeAK
Hospitalist, Family Practice, HospitalistWA

Reviews

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Frequently asked questions

How do payers reference DONNA JEAN ROLLINS (PMHNP-BC)?
For DONNA JEAN ROLLINS (PMHNP-BC), use NPI 1124370523 as the unique 10-digit identifier.
Active or inactive — what applies to DONNA JEAN ROLLINS (PMHNP-BC)?
You should see DONNA JEAN ROLLINS (PMHNP-BC) as active in CMS-hosted NPPES data.
How would a patient describe DONNA JEAN ROLLINS (PMHNP-BC)'s focus?
For DONNA JEAN ROLLINS (PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DONNA JEAN ROLLINS (PMHNP-BC) located near Homer?
DONNA JEAN ROLLINS (PMHNP-BC) currently maps to Homer, Alaska in this extract.
When was this NPI issued?
Enumeration for DONNA JEAN ROLLINS (PMHNP-BC) is noted as October 9, 2012 where the registry provides it.

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