ELIZABETH JAHJAH – Family Nurse Practitioner, NPI 1144767971
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELIZABETH JAHJAH
12243 Ridge Forest Ln
Jacksonville, FL 322469336
Phone: (954) 608-9040
Type: Location
203, Monument Road, Jacksonville, Duval County, Florida, 32225, United States
JACKSONVILLE, FL 322256482
Phone: (904) 727-5120
Fax: (904) 727-5129
Type: Location
12243, Ridge Forest Lane, Windsor Chase, Jacksonville, Duval County, Florida, 32246, United States
JACKSONVILLE, FL 322469336
Phone: (954) 608-9040
Type: Mailing
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 $373.
Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: CVRx, Inc. ($159).
Total Amount
$373
General + Research + Ownership
Payments
3
Total payment records
General Amount
$373
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CVRx, Inc. | $159 |
| Medtronic, Inc. | $109 |
| Edwards Lifesciences Corporation | $105 |
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: 2018-01-24
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 |
|---|---|---|---|---|
| I20180124000563 | 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 32246)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| - | FL | |
| General Surgery | OH | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Infectious Disease, Internal Medicine | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL |
Reviews
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