JEANNE MICHELLE CHURCHILL (APN) – Family Nurse Practitioner, NPI 1245559681

JEANNE MICHELLE CHURCHILL (APN) is a healthcare provider. based in Conway, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. A03366 ANP (AR). The NPI Number for JEANNE MICHELLE CHURCHILL (APN) is 1245559681

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JEANNE MICHELLE CHURCHILL (APN)
NPI
1245559681
Phone
(501) 327-0110
Address
600 CLUB LN
Enumeration Date
25 May 2010
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013270110
Graduation Year
2009 (17 years ago)
PAC ID
9830368158
Group Practice PAC ID
2668505215
Professional Enrollment ID
I20110803000042
Address ID
AR720343624CO600XXLNXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for JEANNE MICHELLE CHURCHILL (APN)

  • 600 CLUB LN

    CONWAY, AR 720343624

    Phone: (501) 327-0110

    Fax: (501) 327-0141

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-06-12 • Largest payer in this snapshot: Abbott Laboratories ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$13
View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-03

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
I20110803000042INurse PractitionerARTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7069$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5959$0
G0442Annual alcohol misuse screening, 5 to 15 minutes5757$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3737$0
G0444Annual depression screening, 5 to 15 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 72034)

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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: 2668505215View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
-AR
Nurse PractitionerAR
Family PracticeAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What federal number belongs to JEANNE MICHELLE CHURCHILL (APN)?
The federal identifier for JEANNE MICHELLE CHURCHILL (APN) is NPI 1245559681.
Is JEANNE MICHELLE CHURCHILL (APN) active in the national directory?
JEANNE MICHELLE CHURCHILL (APN)'s public NPI profile is in an active state.
Does JEANNE MICHELLE CHURCHILL (APN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JEANNE MICHELLE CHURCHILL (APN). Clinical services aligned with this taxonomy classification.
What location shows for JEANNE MICHELLE CHURCHILL (APN)?
We surface Conway, Arkansas for JEANNE MICHELLE CHURCHILL (APN) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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