MISS JACQUELYN DENISE OWENS (APRN, CNS/PMH-BC) – Psychiatric/Mental Health Registered Nurse, NPI 1184845513
Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
32 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in GA
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Provider Addresses for MISS JACQUELYN DENISE OWENS (APRN, CNS/PMH-BC)
3263 BOULDER BROOK DR
LITHONIA, GA 300383004
Phone: (770) 482-7184
Type: Mailing
3188, Atlanta Road Southeast, Atlanta, Cobb, Georgia, 30080, United States
SMYRNA, GA 300808256
Phone: (770) 319-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $942.
Total Amount is formed as General ($942) + Research ($0) + Ownership ($0) = $942.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($346).
Total Amount
$942
General + Research + Ownership
Payments
24
Total payment records
General Amount
$942
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-11-15
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 |
|---|---|---|---|---|
| I20111115000465 | I | Certified Clinical Nurse Specialist (Cns) | GA | 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 |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 64 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 21 | $0 |
Insurance plans in this area (ZIP 30038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Clinical Social Worker | GA | |
| Clinical Social Worker | GA | |
| Mental Health Counselor | GA | |
| Clinical Social Worker | GA | |
| Clinical Social Worker | GA | |
| - | GA | |
| Mental Health Counselor | GA | |
| - | GA | |
| - | MI |
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