MR. JEFFREY A II MAYNARD (FNP-BC) – Family Nurse Practitioner, NPI 1356889570

MR. JEFFREY A II MAYNARD (FNP-BC) is a healthcare provider. based in Catlettsburg, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 3016121 (KY). The NPI Number for MR. JEFFREY A II MAYNARD (FNP-BC) is 1356889570

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY A II MAYNARD (FNP-BC)
NPI
1356889570
Phone
(304) 654-2504
Address
5786 CANNONSBURG RD
Enumeration Date
8 February 2017
Last Update Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6063290727
Graduation Year
2016 (10 years ago)
PAC ID
4981980554
Group Practice PAC ID
0648694596
Professional Enrollment ID
I20220208000742
Address ID
KY411017830AS2550XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MR. JEFFREY A II MAYNARD (FNP-BC)

  • 5786 CANNONSBURG RD

    CATLETTSBURG, KY 411298221

    Phone: (304) 654-2504

    Type: Mailing

  • 2550 CARTER AVE

    ASHLAND, KY 411017830

    Phone: (606) 329-0727

    Fax: (606) 329-1327

    Type: Location

  • 3125 COUNTY ROAD 70

    PROCTORVILLE, OH 456697503

    Phone:

    Type: Mailing

  • 3550 US ROUTE 60 E

    BARBOURSVILLE, WV 255041639

    Phone: (304) 736-9090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,038.

Total Amount is formed as General ($1,038) + Research ($0) + Ownership ($0) = $1,038.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($489).

Total Amount

$1,038

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,038

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170413001665INurse PractitionerWVTBD
I20220207000818INurse PractitionerOHTBD
I20220208000742INurse PractitionerKYTBD

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
82075Measurement of alcohol level in breath specimen13218$0
99213Established patient office or other outpatient visit, 20-29 minutes12723$0
99214Established patient office or other outpatient visit, 30-39 minutes5319$0
View full utilization report →

Insurance plans in this area (ZIP 41129)

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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: 0648694596View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorGA
C H I R O P R A C T I CWV
Nurse PractitionerKY
Clinical Social WorkerOH
Nurse PractitionerWV
Mental Health CounselorWV

Reviews

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Frequently asked questions

How is MR. JEFFREY A II MAYNARD (FNP-BC) identified in CMS data?
CMS-hosted NPPES data lists MR. JEFFREY A II MAYNARD (FNP-BC) with NPI 1356889570.
Does the file indicate MR. JEFFREY A II MAYNARD (FNP-BC) is practicing under active NPI?
Directory data currently reports MR. JEFFREY A II MAYNARD (FNP-BC) as active.
What is MR. JEFFREY A II MAYNARD (FNP-BC) best known for clinically?
Directory data describes MR. JEFFREY A II MAYNARD (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MR. JEFFREY A II MAYNARD (FNP-BC) on a map?
Expect Catlettsburg, Kentucky as a primary anchor for MR. JEFFREY A II MAYNARD (FNP-BC) unless the record lists multiple sites.
Why does MR. JEFFREY A II MAYNARD (FNP-BC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.