JALYN GOOLSBY (NP) – Primary Care Nurse Practitioner, NPI 1750838066
Primary Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JALYN GOOLSBY (NP)
4101 TECHNOLOGY AVE
NEW ALBANY, IN 471508548
Phone: (812) 941-4500
Type: Location
2585, Charlestown Road, New Albany, Floyd County, Indiana, 47150, United States
NEW ALBANY, IN 471502553
Phone: (812) 944-8451
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $2,055.
Total Amount is formed as General ($2,055) + Research ($0) + Ownership ($0) = $2,055.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($580).
Total Amount
$2,055
General + Research + Ownership
Payments
130
Total payment records
General Amount
$2,055
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $580 |
| ITI, Inc. | $324 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $214 |
| Teva Pharmaceuticals USA, Inc. | $148 |
| Lundbeck LLC | $97 |
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: 2016-11-18
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20161118000770 | 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 47150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| N E U R O L O G Y | IN | |
| - | IN | |
| - | IN |
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