JACQUELINE COLLINS (FNP) – Family Nurse Practitioner, NPI 1871040493
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
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Provider Addresses for JACQUELINE COLLINS (FNP)
1919, Lathrop Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States
SUITE 222
FAIRBANKS, AK 997015942
Phone: (907) 456-8191
Type: Location
1406 VALLEY DR
NORTH POLE, AK 997055365
Phone: (907) 488-7144
Fax: (907) 456-8192
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $478.
Total Amount is formed as General ($478) + Research ($0) + Ownership ($0) = $478.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Novo Nordisk Inc ($335).
Total Amount
$478
General + Research + Ownership
Payments
10
Total payment records
General Amount
$478
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $335 |
| PFIZER INC. | $38 |
| ABBVIE INC. | $27 |
| Organon LLC | $25 |
| Averitas Pharma Inc. | $20 |
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: 2016-11-02
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 |
|---|---|---|---|---|
| I20161102001433 | I | Nurse Practitioner | AK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 38 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 37 | 37 | $0 |
Insurance plans in this area (ZIP 99701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AK | |
| Nurse Practitioner | AK | |
| Certified Nurse Midwife (Cnm) | AK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AK | |
| Certified Nurse Midwife (Cnm) | AK | |
| Physician Assistant | AK |
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