MS. DEBRA LYNN JACKLEY (AGACNP) – Acute Care Nurse Practitioner, NPI 1104475482
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,504 NURSE PRACTITIONER in AZ
Provider Addresses for MS. DEBRA LYNN JACKLEY (AGACNP)
350 N Wilmot Rd
Tucson, AZ 857112602
Phone: (520) 873-3077
Type: Location
9562, East 29th Street, Tucson, Pima County, Arizona, 85748, United States
TUCSON, AZ 857488102
Phone: (520) 576-8153
Type: Mailing
Saint Joseph's Hospital, 350, North Wilmot Road, Tucson, Pima County, Arizona, 85711, United States
TUCSON, AZ 857112602
Phone: (520) 873-3077
Type: Location
555 E RIVER RD STE 101
TUCSON, AZ 857045843
Phone: (520) 838-3540
Fax: (520) 325-3526
Type: Mailing
2404 E RIVER RD STE 251
TUCSON, AZ 857186523
Phone: (520) 838-3540
Fax: (520) 325-3526
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $1,637.
Total Amount is formed as General ($1,637) + Research ($0) + Ownership ($0) = $1,637.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Medtronic, Inc. ($1,153).
Total Amount
$1,637
General + Research + Ownership
Payments
39
Total payment records
General Amount
$1,637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,153 |
| Biosense Webster, Inc. | $124 |
| Novartis Pharmaceuticals Corporation | $106 |
| PFIZER INC. | $83 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $62 |
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: 2019-10-28
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 |
|---|---|---|---|---|
| I20191028000603 | I | Nurse Practitioner | AZ | 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 | 89 | 77 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 42 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 33 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 32 | 23 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 22 | 19 | $0 |
Insurance plans in this area (ZIP 85711)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nuclear Medicine, Cardiovascular Disease (Cardiology) | AZ | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | AZ | |
| Cardiovascular Disease (Cardiology) | AZ | |
| Vascular Surgery, General Surgery | AZ | |
| Cardiovascular Disease (Cardiology) | AZ | |
| Cardiovascular Disease (Cardiology) | AZ | |
| Nurse Practitioner | AZ | |
| Cardiovascular Disease (Cardiology) | AZ | |
| - | AZ | |
| Thoracic Surgery, Cardiac Surgery | AZ |
Reviews
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