JEANNIE FARRIS (APRN) – Family Medicine Physician, NPI 1063031763

JEANNIE FARRIS (APRN) is a healthcare provider. based in Panama city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11006754 (FL). The NPI Number for JEANNIE FARRIS (APRN) is 1063031763

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JEANNIE FARRIS (APRN)
NPI
1063031763
Phone
Not provided
Address
2202 STATE AVE STE 201
Enumeration Date
13 April 2020
Last Update Date
3 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507850029
Graduation Year
2020 (6 years ago)
PAC ID
2860879178
Group Practice PAC ID
3779566013
Professional Enrollment ID
I20220506000276
Address ID
FL324054582PA2202XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JEANNIE FARRIS (APRN)

  • 2202 STATE AVE STE 201

    PANAMA CITY, FL 324054582

    Phone:

    Type: Mailing

  • 819 FORESTDALE AVE

    PANAMA CITY, FL 324015130

    Phone: (850) 814-9423

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 367 Open Payments records for all available years, with a total value of $9,495.

Total Amount is formed as General ($9,495) + Research ($0) + Ownership ($0) = $9,495.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($2,696).

Total Amount

$9,495

General + Research + Ownership

Payments

367

Total payment records

General Amount

$9,495

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-05-06

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
I20220506000276INurse PractitionerFLTBD

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 minutes1,403536$0
J1100Injection, dexamethasone sodium phosphate, 1 mg19640$0
99213Established patient office or other outpatient visit, 20-29 minutes178161$0
J1885Injection, ketorolac tromethamine, per 15 mg16047$0
80305Testing for presence of drug, read by direct observation4444$0
View full utilization report →

Insurance plans in this area (ZIP 32405)

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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: 3779566013View full group profile
NameSpecialtyState
N E U R O L O G YIN
-FL
N E U R O L O G YFL
Nurse PractitionerFL
N E U R O L O G YFL
Neurology, Interventional Pain ManagementFL
N E U R O L O G YFL
Neuropsychiatry, NeurologyIN

Reviews

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Frequently asked questions

What federal number belongs to JEANNIE FARRIS (APRN)?
The federal identifier for JEANNIE FARRIS (APRN) is NPI 1063031763.
Is JEANNIE FARRIS (APRN) active in the national directory?
JEANNIE FARRIS (APRN)'s public NPI profile is in an active state.
What kind of provider is JEANNIE FARRIS (APRN)?
The page reflects Family Medicine Physician for JEANNIE FARRIS (APRN). Clinical services aligned with this taxonomy classification.
Where is JEANNIE FARRIS (APRN)'s primary listing?
We display Panama City, Florida because that is what the record indicates for JEANNIE FARRIS (APRN).
How can I contact JEANNIE FARRIS (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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