JENNIFER FICKE – Family Nurse Practitioner, NPI 1043064256

JENNIFER FICKE is a healthcare provider. based in Columbia, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 35959 (TN). The NPI Number for JENNIFER FICKE is 1043064256

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER FICKE
NPI
1043064256
Phone
Not provided
Address
1040 N JAMES CAMPBELL BLVD
Enumeration Date
15 April 2024
Last Update Date
18 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6157717546
Graduation Year
2023 (3 years ago)
PAC ID
9335671825
Group Practice PAC ID
8820064140
Professional Enrollment ID
I20241022003988
Address ID
TN370672677FR200XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for JENNIFER FICKE

  • 1040 N JAMES CAMPBELL BLVD

    STE 101

    COLUMBIA, TN 38401

    Phone:

    Type: Mailing

  • 1040 N JAMES M CAMPBELL BLVD STE 101

    COLUMBIA, TN 384012758

    Phone: (931) 840-9991

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $507.

Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($173).

Total Amount

$507

General + Research + Ownership

Payments

11

Total payment records

General Amount

$507

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2024-10-22

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
I20241022003988INurse PractitionerTNTBD

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 38401)

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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: 8820064140View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Physician AssistantTN
Physician AssistantTN
D E R M A T O L O G YTN
D E R M A T O L O G YTN
D E R M A T O L O G YCA
Physician AssistantNY

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER FICKE?
The federal identifier for JENNIFER FICKE is NPI 1043064256.
Is JENNIFER FICKE active in the national directory?
JENNIFER FICKE's public NPI profile is in an active state.
What kind of provider is JENNIFER FICKE?
The page reflects Family Nurse Practitioner for JENNIFER FICKE. Clinical services aligned with this taxonomy classification.
Does JENNIFER FICKE practice in Tennessee?
You will see Columbia, Tennessee on file for JENNIFER FICKE alongside any extra practice locations.
How can I contact JENNIFER FICKE?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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