JENNIE KATELYN NOLAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1659054534

JENNIE KATELYN NOLAN (PMHNP) is a healthcare provider. based in Pineville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 4007386 (KY). The NPI Number for JENNIE KATELYN NOLAN (PMHNP) is 1659054534

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JENNIE KATELYN NOLAN (PMHNP)
NPI
1659054534
Phone
(606) 654-6210
Address
222 W TENNESSEE AVE
Enumeration Date
8 August 2023
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6066546210
Graduation Year
2023 (3 years ago)
PAC ID
0446601710
Group Practice PAC ID
0941550149
Professional Enrollment ID
I20240213004238
Address ID
KY409771737PI222XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JENNIE KATELYN NOLAN (PMHNP)

  • 222 W TENNESSEE AVE

    PINEVILLE, KY 409771737

    Phone: (606) 654-6210

    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 10 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($81).

Total Amount

$201

General + Research + Ownership

Payments

10

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2024-02-13

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
I20240213004238INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40977)

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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: 0941550149View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do I look up JENNIE KATELYN NOLAN (PMHNP) by NPI?
Use NPI 1659054534 when you need to reference JENNIE KATELYN NOLAN (PMHNP) in forms, claims, or directories.
Is JENNIE KATELYN NOLAN (PMHNP)'s NPI currently valid?
The extract we use shows JENNIE KATELYN NOLAN (PMHNP) as active.
Can you summarize JENNIE KATELYN NOLAN (PMHNP)'s specialty in plain language?
Clinically, the directory lists JENNIE KATELYN NOLAN (PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JENNIE KATELYN NOLAN (PMHNP)'s primary listing?
We display Pineville, Kentucky because that is what the record indicates for JENNIE KATELYN NOLAN (PMHNP).
Is JENNIE KATELYN NOLAN (PMHNP) a real provider?
This page reflects official NPPES data for NPI 1659054534. Always confirm identity and privileges with the practice and licensing boards.

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