MYRVIENNE JACKSON (FNP) – Family Nurse Practitioner, NPI 1013685957
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
Provider Addresses for MYRVIENNE JACKSON (FNP)
529 BRANDIES CIR
MURFREESBORO, TN 371280710
Phone: (615) 551-4980
Type: Location
1116 SYCAMORE LEAF WAY
MURFREESBORO, TN 371294364
Phone: (347) 479-0478
Type: Mailing
514 BRANDIES CIR STE A
MURFREESBORO, TN 371287751
Phone: (615) 849-4081
Type: Location
514 Brandies Cir Ste A
Murfreesboro, TN 371287751
Phone: (615) 849-4081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($88).
Total Amount
$119
General + Research + Ownership
Payments
2
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $88 |
| Amgen Inc. | $30 |
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: 2023-11-16
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 |
|---|---|---|---|---|
| I20231116000248 | I | Nurse Practitioner | TN | 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 37128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | IL | |
| - | TN | |
| Clinical Social Worker | TN | |
| Nurse Practitioner | IL | |
| - | TN | |
| - | FL |
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