JENNIFER NOLLEY (APRN-CNP) – Acute Care Nurse Practitioner, NPI 1306610829
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for JENNIFER NOLLEY (APRN-CNP)
7777 FOREST LN STE C755
DALLAS, TX 752306862
Phone: (972) 566-2600
Type: Location
1600 RUSHING WAY
WYLIE, TX 750988138
Phone: (469) 585-8088
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,242.
Total Amount is formed as General ($1,242) + Research ($0) + Ownership ($0) = $1,242.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($379).
Total Amount
$1,242
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $379 |
| ABBVIE INC. | $165 |
| LEO Pharma Inc. | $139 |
| Regeneron Healthcare Solutions, Inc. | $129 |
| Janssen Biotech, Inc. | $128 |
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: 2024-10-03
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 |
|---|---|---|---|---|
| I20241003000202 | 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 75230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| - | TX |
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