DR. JACQUELINE ROSE ANSELL (M.D) – Neurology Physician, NPI 1750357042
Neurology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
609 NEUROLOGY in TN
Provider Addresses for DR. JACQUELINE ROSE ANSELL (M.D)
1735 HAYNES ST
CLARKSVILLE, TN 370434598
Phone: (931) 436-6031
Fax: (931) 443-5590
Type: Location
1301 Pleasant Valley Rd Ste 300
Owensboro, KY 423039774
Phone: (270) 417-7830
Fax: (270) 417-7839
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone: (615) 936-5091
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372324598
Phone: (615) 322-3000
Type: Location
719 THOMPSON LN STE 30330
NASHVILLE, TN 372044701
Phone:
Type: Mailing
127, North Oak Avenue, Cookeville, Putnam County, Tennessee, 38501, United States
SUITE D
COOKEVILLE, TN 385012435
Phone: (931) 783-5857
Fax: (931) 526-6760
Type: Mailing
Cookeville Regional Medical Center, 1, Medical Center Boulevard, Cookeville, Putnam County, Tennessee, 38501, United States
COOKEVILLE, TN 385014294
Phone: (931) 783-2770
Fax: (931) 525-1176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $400.
Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.
Last reported payment date: 2023-07-21 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($252).
Total Amount
$400
General + Research + Ownership
Payments
5
Total payment records
General Amount
$400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $252 |
| ARGENX US, INC. | $50 |
| ABBVIE INC. | $50 |
| Alexion Pharmaceuticals, Inc. | $49 |
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: 2024-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20070131000703 | I | Neurology | TN | TBD |
| I20230515001777 | I | Neurology | AL | TBD |
| I20231013001190 | I | Neurology | KY | TBD |
| I20240710005043 | I | Neurology | AR | TBD |
| I20241111000274 | I | Neurology | OH | 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 37043)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | AR | |
| - | AR | |
| Diagnostic Radiology, Interventional Radiology | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.