JEREMY LYNN REMILLARD (FNP) – Nurse Practitioner, NPI 1326558388

JEREMY LYNN REMILLARD (FNP) is a healthcare provider. based in Wiggins, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 902255 (MS). The NPI Number for JEREMY LYNN REMILLARD (FNP) is 1326558388

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY LYNN REMILLARD (FNP)
NPI
1326558388
Phone
(228) 425-4757
Address
1350 FAIRWAY DR
Enumeration Date
4 October 2017
Last Update Date
4 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2283726040
Graduation Year
2017 (9 years ago)
PAC ID
9638432065
Group Practice PAC ID
8527241207
Professional Enrollment ID
I20180417000748
Address ID
MS395673416PA2210XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

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Provider Addresses for JEREMY LYNN REMILLARD (FNP)

  • 1350 FAIRWAY DR

    WIGGINS, MS 395776008

    Phone: (228) 425-4757

    Type: Mailing

  • Garden Park Medical Center, 15200, Community Road, Gulfport, Harrison County, Mississippi, 39503, United States

    GULFPORT, MS 395033085

    Phone: (228) 575-7000

    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: 2018-04-17

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
I20180417000748INurse PractitionerMSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8362$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg5613$0
99213Established patient office or other outpatient visit, 20-29 minutes4334$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3732$0
87804Detection test by immunoassay with direct visual observation for influenza virus3618$0
View full utilization report →

Insurance plans in this area (ZIP 39577)

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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: 8527241207View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JEREMY LYNN REMILLARD (FNP)?
NPI 1326558388 is assigned to JEREMY LYNN REMILLARD (FNP) under the national enumeration system.
Does this profile mean JEREMY LYNN REMILLARD (FNP) is currently active?
Yes — JEREMY LYNN REMILLARD (FNP) appears active in the national provider directory.
What field does JEREMY LYNN REMILLARD (FNP) work in?
You can think of JEREMY LYNN REMILLARD (FNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JEREMY LYNN REMILLARD (FNP)?
We surface Wiggins, Mississippi for JEREMY LYNN REMILLARD (FNP) based on available NPPES addresses.
How can I contact JEREMY LYNN REMILLARD (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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