MS. JACQUELINE MARIE RAY (FNP) – Family Nurse Practitioner, NPI 1255420972
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
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Provider Addresses for MS. JACQUELINE MARIE RAY (FNP)
Park Drive, Riverview, Hillsborough County, Florida, 33569, United States
RIVERVIEW, FL 335783605
Phone:
Type: Mailing
University of Tennessee Medical Center, 1924, Alcoa Highway, Knoxville, Knox County, Tennessee, 37920, United States
KNOXVILLE, TN 379201511
Phone: (865) 305-9402
Fax: (865) 305-6391
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Novo Nordisk Inc ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $14 |
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: 2019-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20081216000070 | I | Nurse Practitioner | TN | TBD |
| I20120424000352 | I | Nurse Practitioner | FL | TBD |
| I20170412002025 | I | Nurse Practitioner | VA | TBD |
| I20171026002869 | I | Nurse Practitioner | GA | TBD |
| I20190124001404 | I | Nurse Practitioner | NH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 101 | 100 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 43 | 43 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 38 | 36 | $0 |
Insurance plans in this area (ZIP 33578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Nurse Practitioner | NH | |
| Emergency Medicine | NH | |
| Nurse Practitioner | TX | |
| Emergency Medicine | OR | |
| Emergency Medicine | OH | |
| Emergency Medicine | PA | |
| Emergency Medicine | NH | |
| Emergency Medicine | MA | |
| Physician Assistant | FL |
Reviews
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