JESSICA LYNN ANGLIN (NP) – Family Nurse Practitioner, NPI 1104438902

JESSICA LYNN ANGLIN (NP) is a healthcare provider. based in Evansville, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 3014910 (KY). The NPI Number for JESSICA LYNN ANGLIN (NP) is 1104438902

Main info

Female
7 Years Of Experience
Name
JESSICA LYNN ANGLIN (NP)
NPI
1104438902
Phone
(812) 477-7246
Address
1101 Professional Blvd Ste 100
Enumeration Date
21 August 2020
Last Update Date
2 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708814150
Graduation Year
2019 (7 years ago)
PAC ID
0042623597
Group Practice PAC ID
2769727114
Professional Enrollment ID
I20201230002277
Address ID
KY422408756HO112XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for JESSICA LYNN ANGLIN (NP)

  • 1101 Professional Blvd Ste 100

    Evansville, IN 477148018

    Phone: (812) 477-7246

    Type: Location

  • 112 Keeton Dr

    Hopkinsville, KY 422408756

    Phone: (270) 881-4150

    Type: Location

  • 1101 PROFESSIONAL BLVD STE 100

    EVANSVILLE, IN 477148018

    Phone: (812) 477-7246

    Type: Mailing

  • 200 CLINIC DR FL 6

    MADISONVILLE, KY 424311661

    Phone: (812) 477-7246

    Fax: (812) 477-7240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $523.

Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Nevro Corp. ($361).

Total Amount

$523

General + Research + Ownership

Payments

21

Total payment records

General Amount

$523

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2021-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20201230002277INurse PractitionerKYTBD
I20211018001747INurse PractitionerINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9878$0
99214Established patient office or other outpatient visit, 30-39 minutes5750$0
80307Testing for presence of drug, by chemistry analyzers2423$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms1212$0
View full utilization report →

Insurance plans in this area (ZIP 47714)

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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: 2769727114View full group profile
NameSpecialtyState
-IN
Nurse PractitionerKY
-IN
Pain Management, Anesthesiology, Interventional Pain ManagementIN
Physical Medicine And Rehabilitation, Interventional Pain ManagementIN
-IN
Interventional Pain Management, AnesthesiologyKY
Certified Registered Nurse Anesthetist (Crna)KY
-IN
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for JESSICA LYNN ANGLIN (NP) in the U.S.?
In the U.S., JESSICA LYNN ANGLIN (NP) is identified by NPI 1104438902.
Quick check: is JESSICA LYNN ANGLIN (NP) active?
Public NPPES data shows JESSICA LYNN ANGLIN (NP) with an active NPI status right now.
What type of care does JESSICA LYNN ANGLIN (NP) provide?
JESSICA LYNN ANGLIN (NP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JESSICA LYNN ANGLIN (NP)?
JESSICA LYNN ANGLIN (NP) is associated with Evansville, Indiana in the same public data insurers reference.
Who maintains JESSICA LYNN ANGLIN (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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