JESSICA ANN CARROLL (MSN, FNP-C) – Family Nurse Practitioner, NPI 1255069985

JESSICA ANN CARROLL (MSN, FNP-C) is a healthcare provider. based in Sandusky, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-C. They hold a License No. APRN.CNP.0031913 (OH). The NPI Number for JESSICA ANN CARROLL (MSN, FNP-C) is 1255069985

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ANN CARROLL (MSN, FNP-C)
NPI
1255069985
Phone
(419) 357-1165
Address
1111 HAYES AVE
Enumeration Date
10 August 2022
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193336462
Graduation Year
2022 (4 years ago)
PAC ID
0042683500
Group Practice PAC ID
1456531870
Professional Enrollment ID
I20230302002544
Address ID
OH434203237FR715XXAVEX400
Telehealth
Yes

Contacts

Secure Messaging
jcarroll261764@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JESSICA ANN CARROLL (MSN, FNP-C)

  • 1111 HAYES AVE

    SANDUSKY, OH 448703323

    Phone: (419) 357-1165

    Type: Mailing

  • 2281 HAYES AVE

    FREMONT, OH 434202632

    Phone: (419) 355-8488

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($81).

Total Amount

$157

General + Research + Ownership

Payments

3

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2023-03-02

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
I20230302002544INurse PractitionerOHTBD

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 minutes9797$0
99213Established patient office or other outpatient visit, 20-29 minutes5251$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 44870)

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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: 1456531870View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Certified Nurse Midwife (Cnm)OH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH
Family PracticeMI
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the registry number for JESSICA ANN CARROLL (MSN, FNP-C)?
The registry entry for JESSICA ANN CARROLL (MSN, FNP-C) shows NPI 1255069985.
Does the public listing show JESSICA ANN CARROLL (MSN, FNP-C) as active?
JESSICA ANN CARROLL (MSN, FNP-C)'s NPI record reflects an active status in NPPES.
What does the directory say JESSICA ANN CARROLL (MSN, FNP-C) does?
Insurance directories may phrase it differently, but here JESSICA ANN CARROLL (MSN, FNP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to JESSICA ANN CARROLL (MSN, FNP-C)?
The directory associates JESSICA ANN CARROLL (MSN, FNP-C) with Sandusky, Ohio. Check all listed addresses for suites or satellite offices.
Can I export JESSICA ANN CARROLL (MSN, FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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