JACKIE LYNNE CRAFT (ANP) – Adult Health Nurse Practitioner, NPI 1407290596

Adult Health Nurse Practitioner

JACKIE LYNNE CRAFT (ANP) is a healthcare provider. based in Duffield, Virginia. specializing in Adult Health Nurse Practitioner. They hold the professional credentials ANP. They hold a License No. 0024170808 (VA). The NPI Number for JACKIE LYNNE CRAFT (ANP) is 1407290596

Main info

Female

14 Years Of Experience

Accepts Medicare Assignment

Name

JACKIE LYNNE CRAFT (ANP)

NPI

1407290596

Phone

(276) 431-1638

Address

373 CECIL D QUILLEN DR STE 101

Enumeration Date

19 April 2013

Last Update Date

21 April 2016

Doctor Profile

Medical School Name

EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE

Secondary Phone

2764311638

Graduation Year

2012 (14 years ago)

PAC ID

3072756956

Group Practice PAC ID

3173412707

Professional Enrollment ID

I20130823001237

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience40

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for JACKIE LYNNE CRAFT (ANP)

373 CECIL D QUILLEN DR STE 101
REGIONAL HEALTH RESOURCES
DUFFIELD, VA 242444085
Phone: (276) 431-1638
Mailing address matches the actual address.

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: 2013-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1014 days ago).

Enrollment records

Earliest due date

2023-08-31

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
I20130823001237	I	Nurse Practitioner	VA	2023-08-31

What to do next

Verify current status on the CMS Revalidation Lookup Tool immediately.
Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24244)

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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: 3173412707View full group profile

Name	Specialty	State
GAIL R FEAGINS (LCSW)	Clinical Social Worker	VA
JOHNNY R SHUPE (APRN)	Nurse Practitioner	VA

Reviews

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Frequently asked questions

What number should I use to identify JACKIE LYNNE CRAFT (ANP) for billing?

Administrative and clinical systems typically use NPI 1407290596 for JACKIE LYNNE CRAFT (ANP).

Is JACKIE LYNNE CRAFT (ANP) currently accepting referrals based on NPI status?

Registry metadata lists JACKIE LYNNE CRAFT (ANP) as active.

What services align with JACKIE LYNNE CRAFT (ANP)'s listing?

JACKIE LYNNE CRAFT (ANP)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What city is tied to JACKIE LYNNE CRAFT (ANP)?

The directory associates JACKIE LYNNE CRAFT (ANP) with Duffield, Virginia. Check all listed addresses for suites or satellite offices.

Can I export JACKIE LYNNE CRAFT (ANP)'s record?

You can download the official NPPES record; we summarize key fields for readability.