JACQUELYN LORRAINE ADDINGTON (FNP) – Family Nurse Practitioner, NPI 1053845966
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for JACQUELYN LORRAINE ADDINGTON (FNP)
905, South Main Street, Concordia, Lafayette County, Missouri, 64020, United States
CONCORDIA, MO 640208335
Phone: (660) 463-7966
Fax: (660) 463-7729
Type: Mailing
407 BURKARTH RD STE 302
WARRENSBURG, MO 640933101
Phone: (660) 747-5558
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 188 Open Payments records for all available years, with a total value of $5,040.
Total Amount is formed as General ($5,040) + Research ($0) + Ownership ($0) = $5,040.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,467).
Total Amount
$5,040
General + Research + Ownership
Payments
188
Total payment records
General Amount
$5,040
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,467 |
| GlaxoSmithKline, LLC. | $612 |
| GENZYME CORPORATION | $526 |
| Amgen Inc. | $351 |
| Regeneron Healthcare Solutions, Inc. | $298 |
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: 2017-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170628003291 | I | Nurse Practitioner | MO | 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 | 74 | 58 | $0 |
Insurance plans in this area (ZIP 64020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Hematology/Oncology, Internal Medicine | GA | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Physician Assistant | NC | |
| Internal Medicine, Hematology/Oncology | GA | |
| Hospitalist, Internal Medicine | TX | |
| A N E S T H E S I O L O G Y | MO | |
| General Surgery | MO | |
| Family Practice, Emergency Medicine | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS |
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