JILLIAN A MOSSNER (FNP) – Family Nurse Practitioner, NPI 1396198412

JILLIAN A MOSSNER (FNP) is a healthcare provider. based in Marietta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN218748 (GA). The NPI Number for JILLIAN A MOSSNER (FNP) is 1396198412

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN A MOSSNER (FNP)
NPI
1396198412
Phone
(770) 421-1420
Address
335 ROSELANE ST NW
Enumeration Date
14 July 2016
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704204644
Graduation Year
2016 (10 years ago)
PAC ID
6901187467
Group Practice PAC ID
5991783045
Professional Enrollment ID
I20180907000034
Address ID
GA301173301CA418XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for JILLIAN A MOSSNER (FNP)

  • Roselane Street Northwest, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    MARIETTA, GA 300607902

    Phone: (770) 421-1420

    Fax: (770) 421-8055

    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 19 Open Payments records for all available years, with a total value of $741.

Total Amount is formed as General ($741) + Research ($0) + Ownership ($0) = $741.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Nevro Corp. ($494).

Total Amount

$741

General + Research + Ownership

Payments

19

Total payment records

General Amount

$741

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

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: 2018-09-07

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
I20180907000034INurse 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 30060)

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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: 5991783045View full group profile
NameSpecialtyState
Physical Medicine And Rehabilitation, Interventional Pain ManagementGA
A N E S T H E S I O L O G YCO
Nurse PractitionerGA
Pain Management, Hospice/Palliative CareFL
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is JILLIAN A MOSSNER (FNP) listed with a National Provider Identifier?
Yes — JILLIAN A MOSSNER (FNP) has NPI 1396198412 on file in the registry.
Is there an active status for JILLIAN A MOSSNER (FNP)?
For scheduling context, JILLIAN A MOSSNER (FNP) is shown as active in the registry.
What expertise is attributed to JILLIAN A MOSSNER (FNP)?
JILLIAN A MOSSNER (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JILLIAN A MOSSNER (FNP) associated with Marietta?
Public fields place JILLIAN A MOSSNER (FNP) around Marietta, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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