MRS. JACQUELINE NICOLE STUMBO (APRN) – Family Nurse Practitioner, NPI 1275938904
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for MRS. JACQUELINE NICOLE STUMBO (APRN)
305 N 5TH ST
IRONTON, OH 456381578
Phone: (740) 532-4858
Type: Mailing
617 23RD ST
SUITE 11
ASHLAND, KY 411012880
Phone: (606) 324-3188
Type: Mailing
1408 CAMPBELL DR
IRONTON, OH 456382301
Phone: (740) 534-9202
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $217.
Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($140).
Total Amount
$217
General + Research + Ownership
Payments
13
Total payment records
General Amount
$217
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $140 |
| Lilly USA, LLC | $63 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $14 |
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: 2018-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180608000773 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 19 | 17 | $0 |
| 81003 | Automated urinalysis test | 18 | 17 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 18 | 17 | $0 |
Insurance plans in this area (ZIP 45638)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner, Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Family Practice | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
Reviews
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