MR. JACOB ANDREW SCOTT (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1801314356
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for MR. JACOB ANDREW SCOTT (CRNP)
5075, Killdeer Drive, Pueblo, Pueblo County, Colorado, 81008, United States
PUEBLO, CO 810082168
Phone: (256) 684-2515
Type: Mailing
7125, University Court, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361178016
Phone: (334) 239-2622
Type: Location
15884 E LIMESTONE RD
ATHENS, AL 356137522
Phone: (125) 644-4451
Fax: (256) 444-2797
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $1,154.
Total Amount is formed as General ($1,154) + Research ($0) + Ownership ($0) = $1,154.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($495).
Total Amount
$1,154
General + Research + Ownership
Payments
91
Total payment records
General Amount
$1,154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $495 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $166 |
| Axsome Therapeutics, Inc. | $145 |
| ABBVIE INC. | $144 |
| Corium, LLC | $82 |
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: 2020-02-09
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 |
|---|---|---|---|---|
| I20200209000014 | I | Nurse Practitioner | AL | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 83 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 81008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Clinical Social Worker | CO |
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