JENNIFER WYRICK (DNP, FNP-C) – Nurse Practitioner, NPI 1831663905
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
Provider Addresses for JENNIFER WYRICK (DNP, FNP-C)
2946 WINFIELD DUNN PKWY STE 107
KODAK, TN 377644316
Phone: (865) 933-9950
Fax: (865) 465-3937
Type: Mailing
631 4th Ave
Bethel, AK 99559
Phone: (907) 543-9858
Type: Location
PO BOX 190
TOPPENISH, WA 989480190
Phone: (509) 408-6298
Fax: (509) 865-0757
Type: Mailing
115 SUNNYSIDE AVE STE A
GRANGER, WA 989329348
Phone: (509) 865-6450
Fax: (509) 865-1401
Type: Location
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 $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-07-26 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $13 |
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: 2026-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20211001000140 | I | Nurse Practitioner | TN | TBD |
| I20241016001376 | I | Nurse Practitioner | AK | TBD |
| I20250303001349 | I | Nurse Practitioner | OR | TBD |
| I20260129001713 | I | Nurse Practitioner | WA | 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 37764)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Orthopedic Surgery | IA | |
| Pulmonary Disease | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Emergency Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Diagnostic Radiology | ME | |
| - | CO |
Reviews
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