JESSICA LEE MACKERT (RN, NP-C) – Family Nurse Practitioner, NPI 1093062515
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for JESSICA LEE MACKERT (RN, NP-C)
4515 SETON CENTER PKWY
SUITE 215 - CREDENTIALING
AUSTIN, TX 787595290
Phone: (512) 407-8686
Fax: (512) 406-6216
Type: Mailing
1010 W 40TH ST
AUSTIN, TX 787564010
Phone: (512) 459-8753
Fax: (512) 483-6807
Type: Mailing
15803 WINDERMERE DR
SUITE 103
PFLUGERVILLE, TX 786602402
Phone: (512) 989-2680
Fax: (512) 406-7339
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 $198.
Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Silk Road Medical, Inc. ($180).
Total Amount
$198
General + Research + Ownership
Payments
2
Total payment records
General Amount
$198
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $180 |
| Inari Medical, Inc. | $18 |
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: 2016-01-25
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 |
|---|---|---|---|---|
| I20160125002172 | I | Nurse Practitioner | TX | 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 78759)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TX | 90670 | Pneumococcal vaccine for injection into muscle | 107 | 107 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX | |
| Thoracic Surgery, Cardiac Surgery | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Pediatric Medicine | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MS | |
| - | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX |
Reviews
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