MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) – Family Nurse Practitioner, NPI 1376791723

MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) is a healthcare provider. based in Bedford heights, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP, FNP-BC. They hold a License No. RN 245899 (OH). The NPI Number for MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) is 1376791723

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC)
NPI
1376791723
Phone
(440) 439-5818
Address
5652 MEADOW LN
Enumeration Date
28 August 2008
Last Update Date
12 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164442200
Graduation Year
2016 (10 years ago)
PAC ID
3779913017
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20200428001990
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC)

  • 5652, Meadow Lane, Bedford Heights, Cuyahoga County, Ohio, 44146, United States

    BEDFORD HEIGHTS, OH 441462402

    Phone: (440) 439-5818

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-04-28

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
I20200428001990INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes113112$0
99203New patient office or other outpatient visit, 30-44 minutes105105$0
99214Established patient office or other outpatient visit, 30-39 minutes8685$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
99202New patient office or other outpatient visit, 15-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 44146)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) by NPI?
Use NPI 1376791723 when you need to reference MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) in forms, claims, or directories.
Does this profile mean MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) is currently active?
Yes — MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) appears active in the national provider directory.
Does MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC). Clinical services aligned with this taxonomy classification.
Does MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) practice in Ohio?
You will see Bedford Heights, Ohio on file for MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) alongside any extra practice locations.
Is MRS. WALINDA DAVIS-JACKSON (APRN, CNP, FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1376791723. Always confirm identity and privileges with the practice and licensing boards.

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