JEFF A HIRE (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1114579307
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JEFF A HIRE (NURSE PRACTITIONER)
Goshen, Elgin Parish, Albert County, New Brunswick, Canada
GOSHEN, IN 465268932
Phone: (574) 238-6840
Type: Mailing
2824, Elkhart Road, Pickwick Village, Goshen, Elkhart County, Indiana, 46526, United States
GOSHEN, IN 465261014
Phone: (574) 535-1700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($72).
Total Amount
$163
General + Research + Ownership
Payments
7
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $72 |
| Organon LLC | $29 |
| Itamar Medical Inc | $25 |
| Lilly USA, LLC | $19 |
| PFIZER INC. | $18 |
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: 2019-08-23
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 |
|---|---|---|---|---|
| I20190823000173 | I | Nurse Practitioner | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46526)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Family Practice | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN |
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