JENNIFER GAIL ROSS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164083747
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
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Provider Addresses for JENNIFER GAIL ROSS (PMHNP-BC)
340, Stateline Road West, Southaven, DeSoto County, Mississippi, 38671, United States
SOUTHAVEN, MS 386711610
Phone: (662) 510-5387
Type: Location
340 Stateline Rd W
Southaven, MS 386711610
Phone: (662) 510-5387
Type: Location
845 N Main St Ste L1B
Providence, RI 029045775
Phone: (401) 648-7172
Type: Location
72 JACQUES AVE
WORCESTER, MA 016102476
Phone: (508) 860-1000
Type: Location
West Van Dorn Avenue, Holly Springs, Marshall County, Mississippi, 38635, United States
HOLLY SPRINGS, MS 386352902
Phone: (662) 274-3212
Fax: (662) 274-3213
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $19 |
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: 2024-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200330003717 | I | Nurse Practitioner | MS | TBD |
| I20220520001327 | I | Nurse Practitioner | MA | TBD |
| I20240904000244 | I | Nurse Practitioner | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 17 | $0 |
| 90834 | Psychotherapy, 45 minutes | 68 | 16 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 31 | 11 | $0 |
Insurance plans in this area (ZIP 38671)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | NY | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | RI | |
| Clinical Social Worker | RI | |
| Nurse Practitioner | RI | |
| Clinical Psychologist | MD | |
| Nurse Practitioner | MA |
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