JESSICA MAE MUDGETT – Family Nurse Practitioner, NPI 1619453115

JESSICA MAE MUDGETT is a healthcare provider. based in Pillager, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. F06181406 (MN). The NPI Number for JESSICA MAE MUDGETT is 1619453115

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA MAE MUDGETT
NPI
1619453115
Phone
(218) 839-1484
Address
12668 43RD AVE SW
Enumeration Date
17 July 2018
Last Update Date
17 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2185467000
Graduation Year
2018 (8 years ago)
PAC ID
5597016147
Group Practice PAC ID
9537146550
Professional Enrollment ID
I20180921000323
Address ID
MN564411645CR320XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for JESSICA MAE MUDGETT

  • 12668 43RD AVE SW

    PILLAGER, MN 564732405

    Phone: (218) 839-1484

    Type: Mailing

  • Cuyuna Regional Medical Center, 320, East Main Street, Towns Edge Mobile Home Park, Crosby, Crow Wing County, Minnesota, 56441, United States

    CROSBY, MN 564411645

    Phone: (218) 546-7000

    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: 2018-09-21

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
I20180921000323INurse PractitionerMNTBD

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 minutes12366$0
99239Hospital discharge day management, more than 30 minutes6561$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3626$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 56473)

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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: 9537146550View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)IN
H O S P I T A L I S TMN
Nurse PractitionerMN
Internal Medicine, Hospitalist, Internal MedicineFL
Family PracticeMN

Reviews

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Frequently asked questions

What unique ID ties claims to JESSICA MAE MUDGETT?
NPI 1619453115 is assigned to JESSICA MAE MUDGETT under the national enumeration system.
Is JESSICA MAE MUDGETT currently active in the NPI registry?
CMS-published data lists JESSICA MAE MUDGETT as an active registrant.
Does JESSICA MAE MUDGETT list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JESSICA MAE MUDGETT. Clinical services aligned with this taxonomy classification.
What location shows for JESSICA MAE MUDGETT?
We surface Pillager, Minnesota for JESSICA MAE MUDGETT based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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