JENNIFER EBBERTT (RN) – Family Nurse Practitioner, NPI 1104410273
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for JENNIFER EBBERTT (RN)
19465 DEERFIELD AVE STE 405
LEESBURG, VA 201761707
Phone: (571) 252-8119
Fax: (571) 252-8119
Type: Location
235 WELLESLEY ST
WESTON, MA 024931572
Phone:
Type: Mailing
224D CORNWALL ST NW STE 403
LEESBURG, VA 201762704
Phone: (703) 737-6010
Type: Mailing
19465 DEERFIELD AVENUE, SUITE 405
LEESBURG, VA 201761707
Phone: (571) 252-8119
Fax: (571) 252-8119
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 $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Gilead Sciences, Inc. ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $27 |
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: 2025-05-15
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250414002192 | I | Nurse Practitioner | VA | TBD |
| I20250515002441 | I | Nurse Practitioner | DC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 64 | 64 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 48 | 48 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 16 | 16 | $0 |
Insurance plans in this area (ZIP 20176)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| - | VA | |
| Family Practice | NC | |
| Physician Assistant | VA | |
| Physician Assistant | MD | |
| - | MD | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| Family Practice | VA |
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