JILLIAN G LITTLE (AGACNP) – Acute Care Nurse Practitioner, NPI 1215759576

JILLIAN G LITTLE (AGACNP) is a healthcare provider. based in Portage, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 4704411781 (MI). The NPI Number for JILLIAN G LITTLE (AGACNP) is 1215759576

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN G LITTLE (AGACNP)
NPI
1215759576
Phone
(269) 349-2266
Address
3304 Cooley Ct
Enumeration Date
28 October 2024
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693492266
Graduation Year
2024 (2 years ago)
PAC ID
0749717296
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20241220003341
Address ID
MI490247430PO3304XCTXX300
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness95
Years active:1State licenses:2Other names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for JILLIAN G LITTLE (AGACNP)

  • 3304 Cooley Ct

    Portage, MI 490247430

    Phone: (269) 349-2266

    Type: Location

  • 3304 COOLEY CT

    PORTAGE, MI 490247430

    Phone:

    Type: Mailing

  • PO BOX 749112

    ATLANTA, GA 303749112

    Phone: (434) 295-1000

    Type: Mailing

  • 1215 LEE ST

    CHARLOTTESVILLE, VA 229080816

    Phone: (434) 924-3627

    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: 2026-02-28

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241220003341INurse PractitionerMITBD
I20260228000890INurse PractitionerVATBD

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 49024)

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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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

Does JILLIAN G LITTLE (AGACNP) have a public NPI I can cite?
Public records show JILLIAN G LITTLE (AGACNP) under NPI 1215759576.
Is JILLIAN G LITTLE (AGACNP)'s NPI status active today?
Active status means JILLIAN G LITTLE (AGACNP)'s NPI record is not deactivated in the public file.
What type of care does JILLIAN G LITTLE (AGACNP) provide?
JILLIAN G LITTLE (AGACNP)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JILLIAN G LITTLE (AGACNP)?
JILLIAN G LITTLE (AGACNP) is associated with Portage, Michigan in the same public data insurers reference.
Can I export JILLIAN G LITTLE (AGACNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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