JAIME CARROLL (CRNP) – Family Nurse Practitioner, NPI 1316922073
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for JAIME CARROLL (CRNP)
1005, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
FORT WALTON BEACH, FL 325476707
Phone: (850) 863-8100
Fax: (850) 862-2303
Type: Mailing
Harbor Boulevard, Destin, Okaloosa County, Florida, 32541, United States
INTERNAL MEDICINE DEPARTMENT
DESTIN, FL 325507232
Phone: (850) 622-3330
Fax: (850) 622-3334
Type: Location
6801 AIRPORT BLVD
MOBILE, AL 366083709
Phone: (251) 266-3582
Fax: (251) 266-3581
Type: Mailing
6801 AIRPORT BLVD # 7B
MOBILE, AL 366083709
Phone: (251) 266-3582
Fax: (251) 266-3581
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-07-18 • Largest payer in this snapshot: ABBVIE INC. ($35).
Total Amount
$91
General + Research + Ownership
Payments
5
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $35 |
| Astellas Pharma US Inc | $34 |
| Daiichi Sankyo Inc. | $21 |
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: 2022-08-12
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 |
|---|---|---|---|---|
| I20220812003177 | I | Nurse Practitioner | AL | 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 32547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Emergency Medicine | NC | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL |
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