JESSICA M LONGSHORE (NP) – Nurse Practitioner, NPI 1144903717

JESSICA M LONGSHORE (NP) is a healthcare provider. based in Savannah, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN242359 (GA). The NPI Number for JESSICA M LONGSHORE (NP) is 1144903717

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA M LONGSHORE (NP)
NPI
1144903717
Phone
(724) 312-8667
Address
5361 REYNOLDS ST
Enumeration Date
10 August 2023
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123558000
Graduation Year
2023 (3 years ago)
PAC ID
5294180527
Group Practice PAC ID
0749194967
Professional Enrollment ID
I20231113002794
Address ID
GA314056014SA5361XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JESSICA M LONGSHORE (NP)

  • 5361 REYNOLDS ST

    SAVANNAH, GA 314056014

    Phone: (724) 312-8667

    Mailing address matches the actual address.

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 $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Solventum Corporation ($25).

Total Amount

$59

General + Research + Ownership

Payments

3

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2023-11-13

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
I20231113002794INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31405)

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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: 0749194967View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive Surgery, Hand SurgeryGA
Plastic And Reconstructive SurgeryCT
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive SurgeryGA
-GA

Reviews

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Frequently asked questions

What federal number belongs to JESSICA M LONGSHORE (NP)?
The federal identifier for JESSICA M LONGSHORE (NP) is NPI 1144903717.
Is JESSICA M LONGSHORE (NP) active in the national directory?
JESSICA M LONGSHORE (NP)'s public NPI profile is in an active state.
Can you summarize JESSICA M LONGSHORE (NP)'s specialty in plain language?
Clinically, the directory lists JESSICA M LONGSHORE (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JESSICA M LONGSHORE (NP)'s primary listing?
We display Savannah, Georgia because that is what the record indicates for JESSICA M LONGSHORE (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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