JAMIE JELLISON – Nurse Practitioner, NPI 1669833125

JAMIE JELLISON is a healthcare provider. based in Pratt, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 53-77174 (KS). The NPI Number for JAMIE JELLISON is 1669833125

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE JELLISON
NPI
1669833125
Phone
(620) 672-7451
Address
200 COMMODORE ST
Enumeration Date
11 March 2016
Last Update Date
11 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202345221
Graduation Year
2013 (13 years ago)
PAC ID
1052601242
Group Practice PAC ID
3678583382
Professional Enrollment ID
I20160531001419
Address ID
KS675782035ST502XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for JAMIE JELLISON

  • Pratt Regional Medical Center, 200, Commodore Street, Pratt, Pratt County, Kansas, 67124, United States

    PRATT, KS 671242903

    Phone: (620) 672-7451

    Fax: (620) 672-2113

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Smith+Nephew, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$35
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: 2016-05-31

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
I20160531001419INurse PractitionerKSTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11031$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2417$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1917$0
99315Nursing facility discharge day management, 30 minutes or less1918$0
27447Replacement of knee joint, both sides of knee1818$0
View full utilization report →

Insurance plans in this area (ZIP 67124)

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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: 3678583382View full group profile
NameSpecialtyState
Emergency MedicineMI
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What number should I use to identify JAMIE JELLISON for billing?
Administrative and clinical systems typically use NPI 1669833125 for JAMIE JELLISON.
Does the public listing show JAMIE JELLISON as active?
JAMIE JELLISON's NPI record reflects an active status in NPPES.
How should patients interpret JAMIE JELLISON's specialty?
The extract shows Nurse Practitioner for JAMIE JELLISON. Clinical services aligned with this taxonomy classification.
What city is tied to JAMIE JELLISON?
The directory associates JAMIE JELLISON with Pratt, Kansas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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