AMY LYNN JEFFRIES – Family Nurse Practitioner, NPI 1780978619

AMY LYNN JEFFRIES is a healthcare provider. based in Austintown, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. SP011356 (PA). The NPI Number for AMY LYNN JEFFRIES is 1780978619

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
AMY LYNN JEFFRIES
NPI
1780978619
Phone
(330) 656-5911
Address
6252 Mahoning Ave
Enumeration Date
8 June 2011
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393432606
Graduation Year
2010 (16 years ago)
PAC ID
5597990986
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20241007003592
Address ID
FL339083618FO9981XDRXX400

Contacts

Secure Messaging
ajeffries413632@Direct.leememorial.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:14State licenses:3Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for AMY LYNN JEFFRIES

  • 6252 Mahoning Ave

    Austintown, OH 445152003

    Phone: (330) 656-5911

    Fax: (330) 656-5901

    Type: Location

  • 5700 DARROW RD

    SUITE 106

    HUDSON, OH 442365026

    Phone: (330) 656-5911

    Fax: (330) 656-5901

    Type: Mailing

  • 6252 MAHONING AVE

    AUSTINTOWN, OH 445152003

    Phone: (330) 656-5911

    Fax: (330) 656-5901

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-1614

    Fax: (239) 343-3695

    Type: Mailing

  • 2776 CLEVELAND AVE

    FORT MYERS, FL 339015864

    Phone: (239) 343-1614

    Fax: (239) 343-3695

    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: 2024-10-07

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
I20241007003592INurse PractitionerFLTBD

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
99284Emergency department visit with moderate level of medical decision making8178$0
99214Established patient office or other outpatient visit, 30-39 minutes4745$0
99285Emergency department visit with high level of medical decision making2927$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 44515)

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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: 9335672146View full group profile
NameSpecialtyState
Neurology, Nephrology, PsychiatryFL
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Cardiovascular Disease (Cardiology)FL
Physician AssistantFL
Medical Genetics And GenomicsMI
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the standard ID for AMY LYNN JEFFRIES in the U.S.?
In the U.S., AMY LYNN JEFFRIES is identified by NPI 1780978619.
Is AMY LYNN JEFFRIES's NPI status active today?
Active status means AMY LYNN JEFFRIES's NPI record is not deactivated in the public file.
Which specialty label fits AMY LYNN JEFFRIES?
NPPES ties AMY LYNN JEFFRIES to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is AMY LYNN JEFFRIES tied to Austintown, Ohio?
If you are local to Austintown, Ohio, AMY LYNN JEFFRIES may be relevant to your search.
Who maintains AMY LYNN JEFFRIES's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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