JESSICA S. VAUGHAN (ACNP) – Acute Care Nurse Practitioner, NPI 1790933752

JESSICA S. VAUGHAN (ACNP) is a healthcare provider. based in Meridian, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. R856479 (MS). The NPI Number for JESSICA S. VAUGHAN (ACNP) is 1790933752

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA S. VAUGHAN (ACNP)
NPI
1790933752
Phone
(601) 703-4078
Address
1314 19TH AVE
Enumeration Date
3 September 2008
Last Update Date
1 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2056529575
Graduation Year
2008 (18 years ago)
PAC ID
7214095710
Group Practice PAC ID
5991985012
Professional Enrollment ID
I20201118000540
Address ID
AL354705410LI1221XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

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Provider Addresses for JESSICA S. VAUGHAN (ACNP)

  • Rush Foundation Hospital, 1314, 19th Avenue, Meridian, Lauderdale County, Mississippi, 39301, United States

    MERIDIAN, MS 393014116

    Phone: (601) 703-4078

    Fax: (601) 703-4085

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($99).

Total Amount

$116

General + Research + Ownership

Payments

2

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-18

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
I20081028000577INurse PractitionerMSTBD
I20201118000540INurse PractitionerALTBD

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 39301)

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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: 5991985012View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
-MS
Nurse PractitionerMS
Nurse PractitionerMS
-MS
Nurse PractitionerMS
Family PracticeMS
Emergency MedicineMS
Family Practice, Emergency Medicine, Emergency MedicineMS

Reviews

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Frequently asked questions

What identifier follows JESSICA S. VAUGHAN (ACNP) across health systems?
The NPI 1790933752 uniquely identifies JESSICA S. VAUGHAN (ACNP) in U.S. healthcare data.
Should I treat JESSICA S. VAUGHAN (ACNP) as an active provider?
Patients and plans typically see JESSICA S. VAUGHAN (ACNP) as active in the national extract.
How should patients interpret JESSICA S. VAUGHAN (ACNP)'s specialty?
The extract shows Acute Care Nurse Practitioner for JESSICA S. VAUGHAN (ACNP). Clinical services aligned with this taxonomy classification.
Is JESSICA S. VAUGHAN (ACNP) tied to Meridian, Mississippi?
If you are local to Meridian, Mississippi, JESSICA S. VAUGHAN (ACNP) may be relevant to your search.
Why is information missing for JESSICA S. VAUGHAN (ACNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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