MRS. JENNIFER L CICCHILLO (N.P.C.) – Adult Health Nurse Practitioner, NPI 1750534509
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
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Provider Addresses for MRS. JENNIFER L CICCHILLO (N.P.C.)
960, Windham Court, Applewood, Boardman, Mahoning County, Ohio, 44512, United States
BOARDMAN, OH 445125087
Phone: (330) 726-3357
Fax: (330) 726-1465
Type: Mailing
PO BOX 100523
FLORENCE, SC 295020523
Phone: (843) 669-5162
Fax: (843) 667-4573
Type: Mailing
327 AIKEN HUNT CIR
COLUMBIA, SC 292238407
Phone: (843) 669-5162
Fax: (843) 667-4573
Type: Location
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: 2023-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050829000115 | I | Nurse Practitioner | OH | TBD |
| I20230824000983 | I | Nurse Practitioner | SC | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 456 | 178 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 401 | 137 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 41 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 16 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 23 | 15 | $0 |
Insurance plans in this area (ZIP 44512)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Nurse Practitioner | SC | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | SC | |
| - | SC | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | SC | |
| - | SC |
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