JERILYN FREEMAN (AGNP-C) – Nurse Practitioner, NPI 1083003552

JERILYN FREEMAN (AGNP-C) is a healthcare provider. based in Liberty, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. TEMPAPRN0102 (GA). The NPI Number for JERILYN FREEMAN (AGNP-C) is 1083003552

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JERILYN FREEMAN (AGNP-C)
NPI
1083003552
Phone
(816) 781-7200
Address
2525 GLENN HENDREN DR
Enumeration Date
21 January 2015
Last Update Date
25 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
8167817200
Graduation Year
2014 (12 years ago)
PAC ID
0648595678
Group Practice PAC ID
9931166618
Professional Enrollment ID
I20150213000771
Address ID
MO640689625LI2525XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:11State licenses:3Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for JERILYN FREEMAN (AGNP-C)

  • 2525 GLENN HENDREN DR

    LIBERTY, MO 640689625

    Phone: (816) 781-7200

    Type: Location

  • 204 SE WESTMINISTER RD

    BLUE SPRINGS, MO 640143747

    Phone: (816) 377-1406

    Type: Mailing

  • 2000 SE BLUE PKWY

    STE 270A

    LEES SUMMIT, MO 640631041

    Phone: (816) 524-1700

    Fax: (816) 524-1794

    Type: Location

  • PO BOX 219672

    KANSAS CITY, MO 641219672

    Phone: (816) 407-4200

    Fax: (816) 407-2362

    Type: Mailing

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: 2019-01-16

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
I20150213000771INurse PractitionerMOTBD
I20190116001140INurse PractitionerKSTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes150143$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 64068)

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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: 9931166618View full group profile
NameSpecialtyState
Internal MedicineMO
-MO
Cardiovascular Disease (Cardiology)TX
Pediatric Medicine, Internal MedicineMO
Cardiovascular Disease (Cardiology), Interventional CardiologyMO
Qualified AudiologistMO
Internal Medicine, HospitalistOK
Nurse PractitionerMO
Infectious DiseaseMO
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

What unique ID ties claims to JERILYN FREEMAN (AGNP-C)?
NPI 1083003552 is assigned to JERILYN FREEMAN (AGNP-C) under the national enumeration system.
Is JERILYN FREEMAN (AGNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JERILYN FREEMAN (AGNP-C) work in?
You can think of JERILYN FREEMAN (AGNP-C) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JERILYN FREEMAN (AGNP-C) practice in Missouri?
You will see Liberty, Missouri on file for JERILYN FREEMAN (AGNP-C) alongside any extra practice locations.
Is JERILYN FREEMAN (AGNP-C) a real provider?
This page reflects official NPPES data for NPI 1083003552. Always confirm identity and privileges with the practice and licensing boards.

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