JACLYN DUBOIS (CNM) – Midwife, NPI 1033760624
Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
163 CERTIFIED NURSE MIDWIFE (CNM) in AZ
Provider Addresses for JACLYN DUBOIS (CNM)
14961 W Bell Rd Ste 175
Surprise, AZ 853743220
Phone: (623) 547-7205
Type: Location
84 Highland Ave Ste 303305
Salem, MA 019702727
Phone: (978) 741-2500
Type: Location
3200, 600 East, South Salt Lake, Salt Lake County, Utah, 84106, United States
SALT LAKE CITY, UT 841061218
Phone: (978) 495-2607
Type: Mailing
14502, West Meeker Boulevard, Sun City West, Maricopa County, Arizona, 85374, United States
SUN CITY WEST, AZ 853755282
Phone: (623) 524-4000
Type: Location
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 $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2023-05-03 • Largest payer in this snapshot: ABBVIE INC. ($20).
Total Amount
$28
General + Research + Ownership
Payments
2
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $20 |
| MAYNE PHARMA COMMERCIAL LLC | $8 |
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: 2023-10-16
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20231016000658 | I | Certified Nurse Midwife (Cnm) | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | MA | |
| Internal Medicine | MA | |
| A N E S T H E S I O L O G Y | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA |
Reviews
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