JEREMY JAY WALDO (CNP) – Family Nurse Practitioner, NPI 1215222708

JEREMY JAY WALDO (CNP) is a healthcare provider. based in Pine island, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. R1432965 (MN). The NPI Number for JEREMY JAY WALDO (CNP) is 1215222708

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY JAY WALDO (CNP)
NPI
1215222708
Phone
(507) 356-4929
Address
111 COUNTY ROAD 11 NW
Enumeration Date
13 June 2011
Last Update Date
13 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5635472021
Graduation Year
2011 (15 years ago)
PAC ID
4789852591
Group Practice PAC ID
1153238977
Professional Enrollment ID
I20170410001392
Address ID
IA521361064CR321XXWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JEREMY JAY WALDO (CNP)

  • 111 COUNTY ROAD 11 NW

    PINE ISLAND, MN 559639756

    Phone: (507) 356-4929

    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)

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: 2017-04-10

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
I20110721000863INurse PractitionerMNTBD
I20170410001392INurse PractitionerIATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3424$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2115$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1817$0
99238Hospital discharge day management, 30 minutes or less1818$0
99284Emergency department visit with moderate level of medical decision making1615$0
View full utilization report →

Insurance plans in this area (ZIP 55963)

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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: 1153238977View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YWI
Physician AssistantWI
Nurse PractitionerIA
Certified Nurse Midwife (Cnm)IA
Certified Nurse Midwife (Cnm)IA
Family PracticeCO
Mental Health CounselorMN
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

How do I look up JEREMY JAY WALDO (CNP) by NPI?
Use NPI 1215222708 when you need to reference JEREMY JAY WALDO (CNP) in forms, claims, or directories.
Does this profile mean JEREMY JAY WALDO (CNP) is currently active?
Yes — JEREMY JAY WALDO (CNP) appears active in the national provider directory.
What kind of provider is JEREMY JAY WALDO (CNP)?
The page reflects Family Nurse Practitioner for JEREMY JAY WALDO (CNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for JEREMY JAY WALDO (CNP)?
The page summarizes Pine Island, Minnesota for JEREMY JAY WALDO (CNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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