MS. JEAN THIBAULT (CRNP, MPH) – Family Nurse Practitioner, NPI 1124359021
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,248 NURSE PRACTITIONER in NC
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Provider Addresses for MS. JEAN THIBAULT (CRNP, MPH)
2995, Drew Street, Clearwater, Pinellas County, Florida, 33759, United States
EAST BLDG 2ND FLOOR
CLEARWATER, FL 33759
Phone: (727) 281-9390
Fax: (813) 635-2613
Type: Mailing
Carolinas Medical Center - Morrocroft, 4525, Cameron Valley Parkway, Phillips Place, SouthPark, Charlotte, Mecklenburg County, North Carolina, 28211, United States
CHARLOTTE, NC 282113546
Phone: (704) 302-8310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 174 Open Payments records for all available years, with a total value of $4,107.
Total Amount is formed as General ($4,107) + Research ($0) + Ownership ($0) = $4,107.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Gilead Sciences, Inc. ($1,314).
Total Amount
$4,107
General + Research + Ownership
Payments
174
Total payment records
General Amount
$4,107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $1,314 |
| ViiV Healthcare Company | $1,279 |
| Merck Sharp & Dohme LLC | $509 |
| Theratechnologies Inc. | $501 |
| Janssen Biotech, Inc. | $324 |
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: 2019-02-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130814000713 | I | Nurse Practitioner | AL | TBD |
| I20190228002209 | 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 33759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Pediatric Medicine, Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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