JILLIAN LACKNER (CRNP) – Family Nurse Practitioner, NPI 1487047841

JILLIAN LACKNER (CRNP) is a healthcare provider. based in Canonsburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. RN627815 (PA). The NPI Number for JILLIAN LACKNER (CRNP) is 1487047841

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN LACKNER (CRNP)
NPI
1487047841
Phone
(412) 531-2902
Address
701 TECHNOLOGY DR STE 150
Enumeration Date
10 March 2015
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4122761560
Graduation Year
2015 (11 years ago)
PAC ID
9638482698
Group Practice PAC ID
8527967256
Professional Enrollment ID
I20150720002048
Address ID
PA151064203CA2375XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for JILLIAN LACKNER (CRNP)

  • 701 TECHNOLOGY DR STE 150

    CANONSBURG, PA 153179531

    Phone: (412) 531-2902

    Fax: (412) 531-2948

    Type: Mailing

  • 2375 GREENTREE RD

    CARNEGIE, PA 151064203

    Phone: (412) 276-1560

    Fax: (412) 276-5805

    Type: Location

  • 1910 COCHRAN RD # MANOR2

    SUITE 490

    PITTSBURGH, PA 152201203

    Phone: (412) 531-2902

    Fax: (412) 531-2948

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-03-31 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$22
View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-20

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
I20150720002048INurse PractitionerPATBD

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 minutes10786$0
36415Insertion of needle into vein for collection of blood sample3126$0
99214Established patient office or other outpatient visit, 30-39 minutes2624$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1614$0
80048Blood test, basic group of blood chemicals (calcium, total)1414$0
View full utilization report →

Insurance plans in this area (ZIP 15317)

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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: 8527967256View full group profile
NameSpecialtyState
Family PracticePA
-PA
Family PracticePA
Family PracticePA
Internal MedicinePA
Nurse PractitionerPA
Family Practice, Geriatric MedicinePA
Family PracticePA
Family PracticePA
Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify JILLIAN LACKNER (CRNP) for billing?
Administrative and clinical systems typically use NPI 1487047841 for JILLIAN LACKNER (CRNP).
Quick check: is JILLIAN LACKNER (CRNP) active?
Public NPPES data shows JILLIAN LACKNER (CRNP) with an active NPI status right now.
What does the directory say JILLIAN LACKNER (CRNP) does?
Insurance directories may phrase it differently, but here JILLIAN LACKNER (CRNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit JILLIAN LACKNER (CRNP) in Canonsburg, Pennsylvania?
For routing, start with Canonsburg, Pennsylvania for JILLIAN LACKNER (CRNP), then verify phone and hours locally.
Who maintains JILLIAN LACKNER (CRNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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