JESSICA PELKOWSKI (ARNP) – Nurse Practitioner, NPI 1003222837
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for JESSICA PELKOWSKI (ARNP)
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone:
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 3 Open Payments records for all available years, with a total value of $380.
Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Integra LifeSciences Corporation ($168).
Total Amount
$380
General + Research + Ownership
Payments
3
Total payment records
General Amount
$380
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $168 |
| KCI USA, Inc. | $125 |
| Stryker Corporation | $87 |
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: 2014-12-09
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 |
|---|---|---|---|---|
| I20141209001042 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,640 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 307 | 290 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 179 | 110 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 128 | 122 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 75 | 73 | $0 |
Insurance plans in this area (ZIP 32224)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | FL | 27447 | Repair of knee joint | 35 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| H O S P I T A L I S T | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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