LEVI JR. JELKS (NURSE PRACTITIONER) – Acute Care Nurse Practitioner, NPI 1306333083
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for LEVI JR. JELKS (NURSE PRACTITIONER)
83, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
RIVERDALE, GA 302743029
Phone: (770) 968-7933
Type: Location
138, South Riverdale Road, Avon Park, Highlands County, Florida, 33825, United States
RIVERDALE, GA 302961819
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,542.
Total Amount is formed as General ($1,542) + Research ($0) + Ownership ($0) = $1,542.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($457).
Total Amount
$1,542
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,542
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $457 |
| AstraZeneca Pharmaceuticals LP | $188 |
| Exact Sciences Corporation | $142 |
| PFIZER INC. | $89 |
| Bayer Healthcare Pharmaceuticals Inc. | $78 |
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: 2020-11-30
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 |
|---|---|---|---|---|
| I20201130000484 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 36 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 24 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 30274)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice, Sports Medicine | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Family Practice, Sports Medicine | GA | |
| Family Practice | GA | |
| Family Practice | GA |
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