JENNIFER POUCHER – Family Nurse Practitioner, NPI 1255084976

JENNIFER POUCHER is a healthcare provider. based in Live oak, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11017863 (FL). The NPI Number for JENNIFER POUCHER is 1255084976

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER POUCHER
NPI
1255084976
Phone
(386) 249-1194
Address
3966 72ND ST
Enumeration Date
2 February 2022
Last Update Date
2 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862080537
Graduation Year
2021 (5 years ago)
PAC ID
7113311184
Group Practice PAC ID
8022263417
Professional Enrollment ID
I20220308002828
Address ID
FL320644832LI1426XNEXX417
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JENNIFER POUCHER

  • 3966 72ND ST

    LIVE OAK, FL 320607406

    Phone: (386) 249-1194

    Type: Mailing

  • 289 SW RANGE AVE STE C

    MADISON, FL 323402351

    Phone: (850) 973-2252

    Fax: (855) 531-6313

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,028.

Total Amount is formed as General ($1,028) + Research ($0) + Ownership ($0) = $1,028.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($301).

Total Amount

$1,028

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,028

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2022-03-08

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
I20220308002828INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes532287$0
99212Established patient office or other outpatient visit, 10-19 minutes8273$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4646$0
99214Established patient office or other outpatient visit, 30-39 minutes3431$0
99495Transitional care management services for problem of at least moderate complexity2727$0
View full utilization report →

Insurance plans in this area (ZIP 32060)

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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: 8022263417View full group profile
NameSpecialtyState
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerIL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Does JENNIFER POUCHER have a public NPI I can cite?
Public records show JENNIFER POUCHER under NPI 1255084976.
Should I treat JENNIFER POUCHER as an active provider?
Patients and plans typically see JENNIFER POUCHER as active in the national extract.
What services align with JENNIFER POUCHER's listing?
JENNIFER POUCHER's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER POUCHER?
JENNIFER POUCHER shows a connection to Live Oak, Florida in registry-derived data.
Why is information missing for JENNIFER POUCHER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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