JENNIFER BALLARD SQUIRES (APRN, BC (NURSEPRACT) – Family Nurse Practitioner, NPI 1306880588
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for JENNIFER BALLARD SQUIRES (APRN, BC (NURSEPRACT)
8613 ROUTE 29 # 200N
FAIRFAX, VA 220312171
Phone: (571) 350-8400
Fax: (703) 280-9596
Type: Location
Prosperity Medical Center, 8503, Arlington Boulevard, Pine Ridge, Annandale, Fairfax (city), Virginia, 22031, United States
SUITE 400
FAIRFAX, VA 220314628
Phone: (703) 280-5390
Fax: (703) 280-9596
Type: Mailing
3040 WILLIAMS DR STE 100
FAIRFAX, VA 220314618
Phone: (571) 350-8400
Fax: (703) 280-9596
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $774.
Total Amount is formed as General ($774) + Research ($0) + Ownership ($0) = $774.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Janssen Biotech, Inc. ($171).
Total Amount
$774
General + Research + Ownership
Payments
22
Total payment records
General Amount
$774
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $171 |
| Takeda Pharmaceuticals U.S.A., Inc. | $102 |
| ABBVIE INC. | $83 |
| BeiGene USA, Inc. | $64 |
| ARRAY BIOPHARMA INC | $49 |
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: 2025-01-03
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 |
|---|---|---|---|---|
| I20161206000055 | I | Nurse Practitioner | DC | TBD |
| I20250103002049 | 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 22031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Radiation Oncology | VA | |
| - | VA | |
| Clinical Social Worker | VA | |
| Radiation Oncology | VA | |
| Hospice/Palliative Care, Internal Medicine, Hospice/Palliative Care | VA | |
| Hematology/Oncology, Internal Medicine | DC | |
| H E M A T O L O G Y/ O N C O L O G Y | VA | |
| - | NH |
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