JILLIAN NICOLE ETHRIDGE-BROWN (MSN, FNP-BC) – Family Nurse Practitioner, NPI 1093252777
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 JILLIAN NICOLE ETHRIDGE-BROWN (MSN, FNP-BC)
1296, Jeffco Boulevard, Arnold, Jefferson County, Missouri, 63010, United States
ARNOLD, MO 630102138
Phone: (636) 321-8610
Type: Location
PO BOX 959354
SAINT LOUIS, MO 631952235
Phone: (314) 742-6000
Fax: (314) 742-6002
Type: Mailing
660A S Truman Blvd
Festus, MO 63028
Phone: (636) 931-3800
Fax: (636) 931-3911
Type: Location
13270 Shady Green Dr
Saint Louis, MO 631283842
Phone: (314) 402-5485
Type: Location
1296 Jeffco Blvd
Arnold, MO 630102138
Phone: (636) 321-8610
Type: Location
2022 Dorsett Vlg
Maryland Heights, MO 630432208
Phone: (314) 520-0520
Type: Location
660, South Truman Boulevard, Festus, Jefferson County, Missouri, 63028, United States
FESTUS, MO 630282235
Phone: (636) 931-3800
Fax: (636) 931-3911
Type: Mailing
4438 TELEGRAPH RD
SAINT LOUIS, MO 631293316
Phone: (314) 742-6000
Fax: (314) 742-6002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $330.
Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($159).
Total Amount
$330
General + Research + Ownership
Payments
15
Total payment records
General Amount
$330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $159 |
| Lilly USA, LLC | $63 |
| Exact Sciences Corporation | $59 |
| Mylan Specialty L.P. | $17 |
| PFIZER INC. | $17 |
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: 2022-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170306002547 | I | Nurse Practitioner | MO | TBD |
| I20220315002149 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 60 | 24 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 13 | 12 | $0 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 63010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Hospitalist, Family Practice | MO | |
| Internal Medicine | MO | |
| - | MO | |
| Family Practice | MO | |
| Internal Medicine | IL | |
| Internal Medicine, Hospitalist | MO | |
| Nurse Practitioner | MO |
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