MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275730376

MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) is a healthcare provider. based in Chesterland, Ohio. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APRN, FNP, PMHNP. They hold a License No. 312983 (OH). The NPI Number for MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) is 1275730376

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP)
NPI
1275730376
Phone
(440) 214-8027
Address
8055 MAYFIELD RD
Enumeration Date
2 July 2007
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
2011 (15 years ago)
PAC ID
6204078470
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20130819000201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP)

  • 8055, Mayfield Road, Chesterland, Chester Township, Geauga County, Ohio, 44026, United States

    STE 105

    CHESTERLAND, OH 440262447

    Phone: (440) 214-8027

    Type: Mailing

  • MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States

    DEPT SURGERY

    CLEVELAND, OH 441091900

    Phone: (216) 957-4713

    Type: Location

  • 2616 EDGEWOOD RD

    BEACHWOOD, OH 441221560

    Phone: (216) 647-7449

    Type: Mailing

  • 14100 CEDAR RD STE 390-2

    CLEVELAND, OH 441213212

    Phone: (216) 905-0099

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($125).

Total Amount

$405

General + Research + Ownership

Payments

7

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

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: 2013-08-19

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
I20130819000201INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44026)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-MI
Hospitalist, Internal MedicineOH
-TX
Radiation OncologyOH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

Can I use this page to confirm MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP)'s NPI?
Yes. MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) is listed with NPI 1275730376 in the public NPI dataset.
Does CMS list MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) as active?
Yes — MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) is active in the NPI listing used on this page.
What taxonomy line describes MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP)?
For research purposes, treat MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) list a practice location?
Patients near Chesterland, Ohio may find MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) in results; validate coverage separately.
Why does MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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