JAMIE ECKENROD (CRNP) – Pulmonary Disease Physician, NPI 1467944405
Pulmonary Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for JAMIE ECKENROD (CRNP)
16 ROSE STREET
JOHNSTOWN, PA 159054327
Phone: (814) 539-0257
Fax: (814) 536-0963
Type: Mailing
15150 Preston Rd Ste 150
Dallas, TX 752484854
Phone: (972) 934-3231
Type: Location
1086 Franklin St
Johnstown, PA 159054305
Phone: (814) 534-9000
Type: Location
1719 GOUCHER ST
JOHNSTOWN, PA 159051905
Phone: (814) 288-8290
Type: Mailing
140, Franklin Street, Prospect Homes, Kernville, Conemaugh, Johnstown, Cambria County, Pennsylvania, 15901, United States
JOHNSTOWN, PA 159054340
Phone: (814) 534-3740
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: ABBVIE INC. ($73).
Total Amount
$196
General + Research + Ownership
Payments
10
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
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: 2018-07-13
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 |
|---|---|---|---|---|
| I20180713000332 | I | Nurse Practitioner | PA | 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 15905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine, General Practice | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Orthopedic Surgery | PA | |
| P O D I A T R Y | PA | |
| Internal Medicine | PA | |
| Physician Assistant | PA | |
| Family Practice, General Surgery, Pain Management, Preventive Medicine | PA | |
| Nurse Practitioner | PA |
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