JESSICA LOCKE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396452884

JESSICA LOCKE (APRN) is a healthcare provider. based in Clinton, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. PENDING (MO). The NPI Number for JESSICA LOCKE (APRN) is 1396452884

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LOCKE (APRN)
NPI
1396452884
Phone
Not provided
Address
1800 COMMUNITY
Enumeration Date
3 November 2022
Last Update Date
18 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173286040
Graduation Year
2022 (4 years ago)
PAC ID
4587037346
Group Practice PAC ID
4183528169
Professional Enrollment ID
I20230227002429
Address ID
MO656133099BO1500XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:3State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for JESSICA LOCKE (APRN)

  • 1800 COMMUNITY

    CLINTON, MO 647358804

    Phone:

    Type: Mailing

  • 860 LYNN ST

    LEBANON, MO 655363810

    Phone: (844) 853-8937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $214.

Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($50).

Total Amount

$214

General + Research + Ownership

Payments

10

Total payment records

General Amount

$214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2023-02-27

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
I20230227002429INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes2214$0
99214Established patient office or other outpatient visit, 30-39 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 64735)

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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: 4183528169View full group profile
NameSpecialtyState
Family PracticeMO
-MO
-MO
Urology, Internal MedicineMO
-MO
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyMO
Hospitalist, Internal MedicineKS
Cardiovascular Disease (Cardiology)MO
Nurse PractitionerMO
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

What is the standard ID for JESSICA LOCKE (APRN) in the U.S.?
In the U.S., JESSICA LOCKE (APRN) is identified by NPI 1396452884.
Is JESSICA LOCKE (APRN)'s NPI status active today?
Active status means JESSICA LOCKE (APRN)'s NPI record is not deactivated in the public file.
How should patients interpret JESSICA LOCKE (APRN)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for JESSICA LOCKE (APRN). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JESSICA LOCKE (APRN)?
JESSICA LOCKE (APRN) is associated with Clinton, Missouri in the same public data insurers reference.
Why is information missing for JESSICA LOCKE (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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