JIMMY WAYNE SPELTS (PMHNP-BC) – Administrator Registered Nurse, NPI 1104423946
Administrator Registered Nurse
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for JIMMY WAYNE SPELTS (PMHNP-BC)
29 FAIRWAY DR
PORTSMOUTH, VA 237011655
Phone: (757) 412-7840
Type: Mailing
732 EDEN WAY N STE 507
CHESAPEAKE, VA 233202798
Phone: (757) 609-2726
Fax: (757) 609-2874
Type: Mailing
732 EDEN WAY N STE E507
CHESAPEAKE, VA 233202798
Phone: (757) 412-7840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,223.
Total Amount is formed as General ($1,223) + Research ($0) + Ownership ($0) = $1,223.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($260).
Total Amount
$1,223
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-01-03
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 |
|---|---|---|---|---|
| I20220103002007 | I | Nurse Practitioner | VA | 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 23701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA |
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