JEANNE KATHLEEN AGGABAO – Family Nurse Practitioner, NPI 1154733145
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for JEANNE KATHLEEN AGGABAO
PO BOX 746871
ATLANTA, GA 303746871
Phone:
Type: Mailing
3900 HULL STREET RD
RICHMOND, VA 232241714
Phone: (804) 292-7620
Type: Location
3940 TRICKLING BROOK DR
RICHMOND, VA 232282927
Phone:
Type: Mailing
3514 W CARY ST
RICHMOND, VA 232212729
Phone: (804) 355-8533
Type: Location
3514 W Cary St
Richmond, VA 232212729
Phone: (804) 355-8533
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 $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-10-20 • Largest payer in this snapshot: Dexcom, Inc. ($142).
Total Amount
$142
General + Research + Ownership
Payments
1
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $142 |
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: 2014-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (985 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20140923001084 | I | Nurse Practitioner | VA | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Internal Medicine | TX | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | VA | |
| Internal Medicine | VA | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | GA | |
| Family Practice | VA | |
| Nurse Practitioner | VA |
Reviews
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