JESSICA GLOVER (FNP-C) – Nurse Practitioner, NPI 1124545835

JESSICA GLOVER (FNP-C) is a healthcare provider. based in Prescott, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP10342 (AZ). The NPI Number for JESSICA GLOVER (FNP-C) is 1124545835

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA GLOVER (FNP-C)
NPI
1124545835
Phone
(602) 486-4271
Address
1208 PEBBLE SPRINGS
Enumeration Date
23 August 2017
Last Update Date
31 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2017 (9 years ago)
PAC ID
8628335072
Group Practice PAC ID
8325034812
Professional Enrollment ID
I20171120003493
Address ID
AZ853647127YU2400XAXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

7,504 NURSE PRACTITIONER in AZ

Provider Addresses for JESSICA GLOVER (FNP-C)

  • 1208 PEBBLE SPRINGS

    PRESCOTT, AZ 86301

    Phone: (602) 486-4271

    Type: Mailing

  • 1208 PEBBLE SPGS

    PRESCOTT, AZ 863014469

    Phone: (602) 486-4271

    Type: Location

  • 1118 W LYNWOOD ST

    PHOENIX, AZ 850071917

    Phone: (602) 486-4271

    Type: Mailing

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: 2020-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171120003493INurse PractitionerAZTBD
I20200526000117INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99283Emergency department visit with low level of medical decision making2321$0
99284Emergency department visit with moderate level of medical decision making1817$0
View full utilization report →

Insurance plans in this area (ZIP 86301)

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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: 8325034812View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerTX
Nurse PractitionerAZ
Nurse PractitionerAZ
Physician AssistantNM
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Does JESSICA GLOVER (FNP-C) have a public NPI I can cite?
Public records show JESSICA GLOVER (FNP-C) under NPI 1124545835.
Is JESSICA GLOVER (FNP-C)'s NPI status active today?
Active status means JESSICA GLOVER (FNP-C)'s NPI record is not deactivated in the public file.
Which specialty label fits JESSICA GLOVER (FNP-C)?
NPPES ties JESSICA GLOVER (FNP-C) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JESSICA GLOVER (FNP-C)?
The directory associates JESSICA GLOVER (FNP-C) with Prescott, Arizona. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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