JENNEL OLICIA BALLARD (FNP) – Family Nurse Practitioner, NPI 1659092203

JENNEL OLICIA BALLARD (FNP) is a healthcare provider. based in Teaneck, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 349250 (NY). The NPI Number for JENNEL OLICIA BALLARD (FNP) is 1659092203

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNEL OLICIA BALLARD (FNP)
NPI
1659092203
Phone
Not provided
Address
294 FORT LEE RD
Enumeration Date
12 September 2022
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5512571948
Graduation Year
2021 (5 years ago)
PAC ID
5991160335
Group Practice PAC ID
4082979166
Professional Enrollment ID
I20230508001817
Address ID
NJ070874924UN4200XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for JENNEL OLICIA BALLARD (FNP)

  • 294 FORT LEE RD

    TEANECK, NJ 076663955

    Phone:

    Type: Mailing

  • 585 RIDGE RD

    NORTH ARLINGTON, NJ 070314823

    Phone:

    Type: Mailing

  • 700 E PALISADE AVE

    ENGLEWOOD CLIFFS, NJ 076323058

    Phone: (551) 309-3555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $210.

Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($124).

Total Amount

$210

General + Research + Ownership

Payments

6

Total payment records

General Amount

$210

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: 2023-05-08

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
I20230508001817INurse PractitionerNJTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2424$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1414$0
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 07666)

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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: 4082979166View full group profile
NameSpecialtyState
P O D I A T R YNJ
Nurse PractitionerCA
Nurse PractitionerNJ
Physician AssistantNJ
Physician AssistantNC
Internal MedicineNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
N E U R O L O G YNJ
Physician AssistantNJ
Emergency Medicine, Internal MedicineNJ

Reviews

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Frequently asked questions

Does JENNEL OLICIA BALLARD (FNP) have a public NPI I can cite?
Public records show JENNEL OLICIA BALLARD (FNP) under NPI 1659092203.
Is JENNEL OLICIA BALLARD (FNP)'s NPI status active today?
Active status means JENNEL OLICIA BALLARD (FNP)'s NPI record is not deactivated in the public file.
Which specialty label fits JENNEL OLICIA BALLARD (FNP)?
NPPES ties JENNEL OLICIA BALLARD (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JENNEL OLICIA BALLARD (FNP)?
The directory associates JENNEL OLICIA BALLARD (FNP) with Teaneck, New Jersey. Check all listed addresses for suites or satellite offices.
Why is information missing for JENNEL OLICIA BALLARD (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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