JEANIE NICOLE DOOM (APRN) – Family Nurse Practitioner, NPI 1003291360
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for JEANIE NICOLE DOOM (APRN)
1860 JH OBRYAN AVE
GRAND RIVERS, KY 420459049
Phone: (270) 362-8246
Fax: (270) 362-9757
Type: Mailing
1901 CAMPUS PL
LOUISVILLE, KY 402992308
Phone:
Type: Mailing
627 W FAIRVIEW AVE
EDDYVILLE, KY 420387386
Phone: (270) 388-5454
Fax: (270) 388-5452
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $736.
Total Amount is formed as General ($736) + Research ($0) + Ownership ($0) = $736.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($245).
Total Amount
$736
General + Research + Ownership
Payments
52
Total payment records
General Amount
$736
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $245 |
| Novo Nordisk Inc | $219 |
| Axsome Therapeutics, Inc. | $50 |
| Otsuka America Pharmaceutical, Inc. | $37 |
| Exact Sciences Corporation | $33 |
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: 2015-10-26
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 |
|---|---|---|---|---|
| I20151026002647 | I | Nurse Practitioner | KY | 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 42045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY | |
| - | FL |
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