JACLYN NICOLE WORKMAN – Nurse Practitioner, NPI 1790331387
Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,248 NURSE PRACTITIONER in CO
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Provider Addresses for JACLYN NICOLE WORKMAN
250, Cull Lane, Dry Ridge, Grant County, Kentucky, 41035, United States
DRY RIDGE, KY 410358811
Phone: (859) 620-3303
Type: Mailing
350, Printers Parkway, Colorado Springs, El Paso County, Colorado, 80910, United States
COLORADO SPRINGS, CO 809103190
Phone: (719) 632-5700
Type: Location
7370 Turfway Road
Florence, KY 410424896
Phone: (859) 212-4700
Type: Location
1815 JET WING DR
COLORADO SPRINGS, CO 809162300
Phone: (719) 632-5700
Fax: (719) 344-7887
Type: Mailing
P.O. BOX 635283
CINCINNATI, OH 452635283
Phone: (859) 344-5555
Fax: (859) 344-5552
Type: Mailing
7300 TURFWAY ROAD
FLORENCE, KY 410421375
Phone: (859) 212-4700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-03-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191003001486 | I | Nurse Practitioner | CO | TBD |
| I20240314000481 | 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 41035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| Marriage And Family Therapist | IN | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| Clinical Social Worker | KY | |
| - | KY | |
| - | FL | |
| Nurse Practitioner | KY |
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