JEREMIE GREGORY (FNP) – Family Nurse Practitioner, NPI 1194175018

JEREMIE GREGORY (FNP) is a healthcare provider. based in Leavenworth, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 77285 (KS). The NPI Number for JEREMIE GREGORY (FNP) is 1194175018

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JEREMIE GREGORY (FNP)
NPI
1194175018
Phone
(913) 682-8700
Address
1300 METROPOLITAN AVE
Enumeration Date
21 June 2016
Last Update Date
7 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7858433750
Graduation Year
2016 (10 years ago)
PAC ID
1153790167
Group Practice PAC ID
3577475664
Professional Enrollment ID
I20221214002035
Address ID
KS660464827LA2415XSTXX300
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

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for JEREMIE GREGORY (FNP)

  • 1300, Metropolitan Avenue, Fort Leavenworth, Leavenworth, Leavenworth County, Kansas, 66048, United States

    LEAVENWORTH, KS 660481254

    Phone: (913) 682-8700

    Type: Location

  • 2415 MASSACHUSETTS ST

    LAWRENCE, KS 660464827

    Phone: (785) 843-3750

    Fax: (785) 832-4887

    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: 2022-12-14

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
I20221214002035INurse PractitionerTXTBD

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 minutes1817$0
99213Established patient office or other outpatient visit, 20-29 minutes1612$0
View full utilization report →

Insurance plans in this area (ZIP 66048)

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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: 3577475664View full group profile

Reviews

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Frequently asked questions

Can I verify JEREMIE GREGORY (FNP) with an NPI only?
You can start verification with NPI 1194175018 for JEREMIE GREGORY (FNP), then check state licensing separately.
Can I rely on JEREMIE GREGORY (FNP) being an active provider?
As of the registry snapshot, JEREMIE GREGORY (FNP) is marked active.
What is JEREMIE GREGORY (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for JEREMIE GREGORY (FNP) here. Clinical services aligned with this taxonomy classification.
What area does JEREMIE GREGORY (FNP) serve?
JEREMIE GREGORY (FNP)'s listing highlights Leavenworth, Kansas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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