JEANIE L ALLEN (NURSE PRACTIONER) – Nurse Practitioner, NPI 1881705812

JEANIE L ALLEN (NURSE PRACTIONER) is a healthcare provider. based in Vidalia, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTIONER. They hold a License No. RN087452 (GA). The NPI Number for JEANIE L ALLEN (NURSE PRACTIONER) is 1881705812

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JEANIE L ALLEN (NURSE PRACTIONER)
NPI
1881705812
Phone
(912) 537-4986
Address
PO BOX 407
Enumeration Date
31 August 2006
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
2668429549
Professional Enrollment ID
I20050404000039
Address ID
GA304743029Vi1006XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JEANIE L ALLEN (NURSE PRACTIONER)

  • PO BOX 407

    VIDALIA, GA 304750407

    Phone: (912) 537-4986

    Type: Mailing

  • 195 E Tollison St Ste A-B

    Baxley, GA 315130172

    Phone: (912) 535-3500

    Type: Location

  • 101 Harris Industrial Blvd Ste A

    Vidalia, GA 304748852

    Phone: (912) 535-3500

    Type: Location

  • 11 Cross St

    Hazlehurst, GA 315396427

    Phone: (912) 535-3500

    Type: Location

  • 101 HARRIS INDUSTRIAL BLVD STE A

    VIDALIA, GA 304748852

    Phone: (912) 535-3500

    Fax: (912) 535-4498

    Type: Mailing

  • 1006, Mt Vernon Road, Charles, Vidalia, Toombs County, Georgia, 30474, United States

    VIDALIA, GA 304743029

    Phone: (912) 537-1221

    Fax: (912) 537-1221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-04-04

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
I20050404000039INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes288209$0
99213Established patient office or other outpatient visit, 20-29 minutes231192$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing113112$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2323$0
View full utilization report →

Insurance plans in this area (ZIP 30475)

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Provider's Procedures

JEANIE L ALLEN (NURSE PRACTIONER) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA85610Blood test, clotting time9456

Reviews

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Frequently asked questions

How do payers reference JEANIE L ALLEN (NURSE PRACTIONER)?
For JEANIE L ALLEN (NURSE PRACTIONER), use NPI 1881705812 as the unique 10-digit identifier.
Is there an active status for JEANIE L ALLEN (NURSE PRACTIONER)?
For scheduling context, JEANIE L ALLEN (NURSE PRACTIONER) is shown as active in the registry.
What clinical focus is listed for JEANIE L ALLEN (NURSE PRACTIONER)?
At a glance, JEANIE L ALLEN (NURSE PRACTIONER) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JEANIE L ALLEN (NURSE PRACTIONER) located near Vidalia?
JEANIE L ALLEN (NURSE PRACTIONER) currently maps to Vidalia, Georgia in this extract.
When was this NPI issued?
Enumeration for JEANIE L ALLEN (NURSE PRACTIONER) is noted as August 31, 2006 where the registry provides it.

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