JANDRA OLIVER (MSN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1033673181
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for JANDRA OLIVER (MSN, PMHNP-BC)
1297, 15th Street, Baywood Park, San Luis Obispo County, California, 93402, United States
LOS OSOS, CA 934021415
Phone: (805) 458-7765
Type: Mailing
2178, Johnson Avenue, San Luis Obispo, San Luis Obispo County, California, 93410, United States
SAN LUIS OBISPO, CA 934014535
Phone: (805) 781-4700
Type: Location
165 SHERMAN DR
ST JOHNSBURY, VT 058199811
Phone: (802) 748-9405
Type: Mailing
26 CEDAR LN
DANVILLE, VT 058289751
Phone: (802) 684-2275
Fax: (802) 695-1303
Type: Location
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: 2024-07-12
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 |
|---|---|---|---|---|
| I20240712002516 | I | Nurse Practitioner | VT | 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 93402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MT | |
| Family Practice | VT | |
| Physician Assistant | VT | |
| Family Practice | NH | |
| - | VT | |
| Family Practice | MA | |
| Family Practice, Pediatric Medicine | VT | |
| Physician Assistant | VT | |
| Clinical Social Worker | VT | |
| Physician Assistant | VT |
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