JILL BRYANT – Internal Medicine Physician, NPI 1053925537

JILL BRYANT is a healthcare provider. based in Joplin, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2020021034 (MO). The NPI Number for JILL BRYANT is 1053925537

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JILL BRYANT
NPI
1053925537
Phone
(417) 624-4701
Address
2615 E 15TH ST
Enumeration Date
2 September 2020
Last Update Date
5 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4176244701
Graduation Year
2020 (6 years ago)
PAC ID
2062814452
Group Practice PAC ID
8527194703
Professional Enrollment ID
I20210707003304
Address ID
MO648041039JO2615XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for JILL BRYANT

  • 2615 E 15TH ST

    JOPLIN, MO 648041006

    Phone: (417) 624-4701

    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 213 Open Payments records for all available years, with a total value of $4,393.

Total Amount is formed as General ($4,393) + Research ($0) + Ownership ($0) = $4,393.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,114).

Total Amount

$4,393

General + Research + Ownership

Payments

213

Total payment records

General Amount

$4,393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-07-07

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
I20210707003304INurse PractitionerMOTBD

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
36415Insertion of needle into vein for collection of blood sample2422$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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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: 8527194703View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineMO

Reviews

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Frequently asked questions

What federal number belongs to JILL BRYANT?
The federal identifier for JILL BRYANT is NPI 1053925537.
Is JILL BRYANT's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JILL BRYANT?
The page reflects Internal Medicine Physician for JILL BRYANT. Clinical services aligned with this taxonomy classification.
Where is JILL BRYANT's primary listing?
We display Joplin, Missouri because that is what the record indicates for JILL BRYANT.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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