JACQUILINE N GREENWALD (APRN) – Adult Health Nurse Practitioner, NPI 1083008494

JACQUILINE N GREENWALD (APRN) is a healthcare provider. based in Fort myers, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 71005524A (IN). The NPI Number for JACQUILINE N GREENWALD (APRN) is 1083008494

Main info

Female
11 Years Of Experience
Name
JACQUILINE N GREENWALD (APRN)
NPI
1083008494
Phone
(239) 343-9560
Address
PO BOX 2147
Enumeration Date
24 March 2015
Last Update Date
22 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393439560
Graduation Year
2015 (11 years ago)
PAC ID
1153632807
Group Practice PAC ID
8729996608
Professional Enrollment ID
I20180816000477
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JACQUILINE N GREENWALD (APRN)

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-9560

    Fax: (239) 343-9624

    Type: Mailing

  • 8925 COLONIAL CENTER DR STE 1000

    FORT MYERS, FL 33905

    Phone: (239) 343-9560

    Fax: (239) 343-9624

    Type: Location

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Fax: (239) 599-2612

    Type: Mailing

  • 3434 HANCOCK BRIDGE PKWY STE 309

    N FORT MYERS, FL 339037099

    Phone: (855) 674-8800

    Type: Location

  • 395 Westfield Rd

    Noblesville, IN 460601434

    Phone: (317) 773-0760

    Type: Location

  • 3830 E SOUTHPORT RD STE 800

    INDIANAPOLIS, IN 462373265

    Phone: (131) 780-9375

    Fax: (239) 599-2612

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Medtronic, Inc. ($118).

Total Amount

$255

General + Research + Ownership

Payments

4

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2018-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150622001425INurse PractitionerINTBD
I20180816000477INurse 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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes13255$0
99497Advance care planning, first 30 minutes5644$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4932$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4630$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4127$0
View full utilization report →

Insurance plans in this area (ZIP 33902)

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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: 8729996608View full group profile

Reviews

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Frequently asked questions

What is JACQUILINE N GREENWALD (APRN)'s NPI number?
JACQUILINE N GREENWALD (APRN)'s NPI is 1083008494 — the number used across U.S. healthcare to identify this provider.
Is JACQUILINE N GREENWALD (APRN) still an active registrant?
JACQUILINE N GREENWALD (APRN) carries an active NPI according to the public dataset.
How would a patient describe JACQUILINE N GREENWALD (APRN)'s focus?
For JACQUILINE N GREENWALD (APRN), the primary taxonomy reads as Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACQUILINE N GREENWALD (APRN)?
Travel planning: use Fort Myers, Florida as the reference point for JACQUILINE N GREENWALD (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.