JERRYLENE DAVID – Nurse Practitioner, NPI 1548043904

JERRYLENE DAVID is a healthcare provider. based in Stafford, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024187819 (VA). The NPI Number for JERRYLENE DAVID is 1548043904

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JERRYLENE DAVID
NPI
1548043904
Phone
Not provided
Address
422 GARRISONVILLE RD STE 111
Enumeration Date
17 August 2023
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407859900
Graduation Year
2022 (4 years ago)
PAC ID
3173044997
Group Practice PAC ID
6305836784
Professional Enrollment ID
I20250405000045
Address ID
VA224014902FR2306XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for JERRYLENE DAVID

  • 422 GARRISONVILLE RD STE 111

    STAFFORD, VA 225541573

    Phone:

    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)

CMS reports 47 Open Payments records for all available years, with a total value of $1,743.

Total Amount is formed as General ($1,743) + Research ($0) + Ownership ($0) = $1,743.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($544).

Total Amount

$1,743

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,743

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250310002698INurse PractitionerDCTBD
I20250405000045INurse PractitionerVATBD

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.

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

Insurance plans in this area (ZIP 22554)

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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: 6305836784View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm JERRYLENE DAVID's NPI?
Yes. JERRYLENE DAVID is listed with NPI 1548043904 in the public NPI dataset.
Does CMS list JERRYLENE DAVID as active?
Yes — JERRYLENE DAVID is active in the NPI listing used on this page.
What is JERRYLENE DAVID best known for clinically?
Directory data describes JERRYLENE DAVID with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JERRYLENE DAVID list a practice location?
Patients near Stafford, Virginia may find JERRYLENE DAVID in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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