JESSICA ROSE CLABAUGH (C.R.N.P.) – Family Nurse Practitioner, NPI 1609242387

JESSICA ROSE CLABAUGH (C.R.N.P.) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials C.R.N.P.. They hold a License No. SP015232 (PA). The NPI Number for JESSICA ROSE CLABAUGH (C.R.N.P.) is 1609242387

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ROSE CLABAUGH (C.R.N.P.)
NPI
1609242387
Phone
(866) 389-2727
Address
550 N PROGRESS AVE
Enumeration Date
17 August 2015
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7177374511
Graduation Year
2015 (11 years ago)
PAC ID
4284943218
Group Practice PAC ID
2365336609
Professional Enrollment ID
I20151014001346
Address ID
PA170431230LE1XXXXSQXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for JESSICA ROSE CLABAUGH (C.R.N.P.)

  • 550 N PROGRESS AVE

    HARRISBURG, PA 171091014

    Phone: (866) 389-2727

    Type: Location

  • 1920 PENN ST

    HARRISBURG, PA 171022272

    Phone: (608) 213-3794

    Type: Mailing

  • 1 LEMOYNE SQ STE 201

    LEMOYNE, PA 170431230

    Phone: (717) 737-4511

    Fax: (717) 737-5940

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $825.

Total Amount is formed as General ($825) + Research ($0) + Ownership ($0) = $825.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($311).

Total Amount

$825

General + Research + Ownership

Payments

29

Total payment records

General Amount

$825

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-10-14

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
I20151014001346INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17109)

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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: 2365336609View full group profile
NameSpecialtyState
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA
-PA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

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Frequently asked questions

How do I look up JESSICA ROSE CLABAUGH (C.R.N.P.) by NPI?
Use NPI 1609242387 when you need to reference JESSICA ROSE CLABAUGH (C.R.N.P.) in forms, claims, or directories.
Does this profile mean JESSICA ROSE CLABAUGH (C.R.N.P.) is currently active?
Yes — JESSICA ROSE CLABAUGH (C.R.N.P.) appears active in the national provider directory.
Does JESSICA ROSE CLABAUGH (C.R.N.P.) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JESSICA ROSE CLABAUGH (C.R.N.P.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JESSICA ROSE CLABAUGH (C.R.N.P.)?
The page summarizes Harrisburg, Pennsylvania for JESSICA ROSE CLABAUGH (C.R.N.P.); expand the address list for detail.
How can I contact JESSICA ROSE CLABAUGH (C.R.N.P.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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