JESSICA BOARD (NP) – Nurse Practitioner, NPI 1164970919
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for JESSICA BOARD (NP)
416 COLEGATE DR BLDG 3
MARIETTA, OH 457509549
Phone: (740) 568-4814
Fax: (740) 374-3165
Type: Mailing
400 MATTHEW ST STE 401
MARIETTA, OH 457501656
Phone: (740) 374-2252
Fax: (740) 374-4974
Type: Location
418 Grand Park Dr Ste 321
Parkersburg, WV 261054000
Phone: (304) 865-5185
Type: Location
807 Farson St Ste 230
Belpre, OH 457141068
Phone: (740) 423-3223
Fax: (740) 401-0437
Type: Location
449, Marietta Lane, Mayfeild Crossing, Spartanburg County, South Carolina, 29651, United States
MARIETTA, OH 457500449
Phone: (740) 374-4500
Type: Mailing
400, Matthew Street, Riverdale, Marietta, Washington County, Ohio, 45750, United States
SUITE 401
MARIETTA, OH 457501644
Phone: (740) 374-2252
Fax: (740) 374-4974
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $579.
Total Amount is formed as General ($579) + Research ($0) + Ownership ($0) = $579.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Medtronic, Inc. ($263).
Total Amount
$579
General + Research + Ownership
Payments
18
Total payment records
General Amount
$579
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-10-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211021001204 | I | Nurse Practitioner | WV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 221 | 171 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 115 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 17 | 15 | $0 |
Insurance plans in this area (ZIP 45750)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| General Practice, Obstetrics/Gynecology | OH | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| General Surgery | OH |
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