JENNIFER RICHIE – Psychiatric/Mental Health Nurse Practitioner, NPI 1063930121
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for JENNIFER RICHIE
4243 Sunbeam Rd Ste 1
Jacksonville, FL 322578975
Phone: (904) 299-0184
Type: Location
802, West Dr Martin Luther King Jr Boulevard, Plant City, Hillsborough County, Florida, 33566, United States
STE D
PLANT CITY, FL 335635105
Phone:
Type: Mailing
2011 N WHEELER ST
PLANT CITY, FL 335631860
Phone: (877) 640-7820
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $228.
Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($228).
Total Amount
$228
General + Research + Ownership
Payments
13
Total payment records
General Amount
$228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $228 |
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: 2019-02-18
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 |
|---|---|---|---|---|
| I20190218001738 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32257)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | CO | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | VA |
Reviews
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