MISS JESSICA NICOLE MCCULLOUGH (APRN, FNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275730376
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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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
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: 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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130819000201 | I | Nurse Practitioner | OH | 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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | MI | |
| Hospitalist, Internal Medicine | OH | |
| - | TX | |
| Radiation Oncology | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Diagnostic Radiology | FL |
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