MRS. ANGELA M JESSIE (APRN) – Family Nurse Practitioner, NPI 1720050818

MRS. ANGELA M JESSIE (APRN) is a healthcare provider. based in Burkesville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3003026 (KY). The NPI Number for MRS. ANGELA M JESSIE (APRN) is 1720050818

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANGELA M JESSIE (APRN)
NPI
1720050818
Phone
(270) 858-6655
Address
PO BOX 1080
Enumeration Date
3 February 2006
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
0547294332
Group Practice PAC ID
6305947789
Professional Enrollment ID
I20050921000559
Address ID
KY427170000BUPOXXXBOXX202
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MRS. ANGELA M JESSIE (APRN)

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 858-6655

    Fax: (270) 858-4027

    Type: Mailing

  • 903 W Stockton St

    Building 1A

    Edmonton, KY 421298120

    Phone: (270) 670-5960

    Type: Location

  • Sartin Drive, Edmonton, Metcalfe County, Kentucky, 42129, United States

    EDMONTON, KY 421298170

    Phone: (270) 432-2444

    Fax: (270) 432-2445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $717.

Total Amount is formed as General ($717) + Research ($0) + Ownership ($0) = $717.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($192).

Total Amount

$717

General + Research + Ownership

Payments

41

Total payment records

General Amount

$717

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2005-09-21

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
I20050921000559INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes50880$0
90833Psychotherapy with evaluation and management visit, 30 minutes3418$0
99214Established patient office or other outpatient visit, 30-39 minutes2312$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 42717)

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Provider's Procedures

MRS. ANGELA M JESSIE (APRN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKY90792Psychiatric diagnostic evaluation with medical services3938

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: 6305947789View full group profile
NameSpecialtyState
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Certified Nurse Midwife (Cnm)KY
Clinical Social WorkerKY
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for MRS. ANGELA M JESSIE (APRN) in the U.S.?
In the U.S., MRS. ANGELA M JESSIE (APRN) is identified by NPI 1720050818.
Should I treat MRS. ANGELA M JESSIE (APRN) as an active provider?
Patients and plans typically see MRS. ANGELA M JESSIE (APRN) as active in the national extract.
What services align with MRS. ANGELA M JESSIE (APRN)'s listing?
MRS. ANGELA M JESSIE (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. ANGELA M JESSIE (APRN)?
MRS. ANGELA M JESSIE (APRN) shows a connection to Burkesville, Kentucky in registry-derived data.
Why is information missing for MRS. ANGELA M JESSIE (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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