MARLO JEFFREY (AGACNP) – Acute Care Nurse Practitioner, NPI 1508473794

MARLO JEFFREY (AGACNP) is a healthcare provider. based in The colony, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 1012021 (TX). The NPI Number for MARLO JEFFREY (AGACNP) is 1508473794

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARLO JEFFREY (AGACNP)
NPI
1508473794
Phone
(972) 310-3362
Address
6857 YOUNGER DR
Enumeration Date
30 September 2020
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
214960568175
Graduation Year
2020 (6 years ago)
PAC ID
4981024353
Group Practice PAC ID
2163679200
Professional Enrollment ID
I20250728003420
Address ID
OK731124418OK3300XEXPW301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for MARLO JEFFREY (AGACNP)

  • 6857 YOUNGER DR

    THE COLONY, TX 750563519

    Phone: (972) 310-3362

    Type: Mailing

  • 1441 N BECKLEY AVE

    DALLAS, TX 752031201

    Phone: (214) 947-8181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-28

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20201023002025INurse PractitionerTXTBD
I20250728003420INurse PractitionerOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 75056)

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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: 2163679200View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerAL
Nurse PractitionerTX
Critical Care (Intensivists), Pulmonary DiseaseTX
-TX
Nurse PractitionerTX
Internal MedicineTX
Critical Care (Intensivists)TX

Reviews

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Frequently asked questions

Is there an official ID for MARLO JEFFREY (AGACNP) in U.S. healthcare records?
The official identifier for MARLO JEFFREY (AGACNP) is NPI 1508473794.
Is there an active status for MARLO JEFFREY (AGACNP)?
For scheduling context, MARLO JEFFREY (AGACNP) is shown as active in the registry.
What clinical focus is listed for MARLO JEFFREY (AGACNP)?
At a glance, MARLO JEFFREY (AGACNP) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is MARLO JEFFREY (AGACNP) registered?
Use The Colony, Texas as the headline location for MARLO JEFFREY (AGACNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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