JACQUELYN BYRD – Primary Care Nurse Practitioner, NPI 1003231234

JACQUELYN BYRD is a healthcare provider. based in Madison, Wisconsin. specializing in Primary Care Nurse Practitioner. They hold a License No. 5689-33 (WI). The NPI Number for JACQUELYN BYRD is 1003231234

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN BYRD
NPI
1003231234
Phone
(608) 240-0020
Address
2917 INTERNATIONAL LN
Enumeration Date
25 February 2014
Last Update Date
8 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082636400
Graduation Year
2014 (12 years ago)
PAC ID
5890006985
Group Practice PAC ID
6608785464
Professional Enrollment ID
I20150616001330
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for JACQUELYN BYRD

  • 2917 INTERNATIONAL LN

    MADISON, WI 537043135

    Phone: (608) 240-0020

    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: 2015-06-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150616001330INurse PractitionerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi23585$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes196112$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7849$0
99316Nursing facility discharge management, more than 30 minutes5654$0
View full utilization report →

Insurance plans in this area (ZIP 53704)

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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: 6608785464View full group profile
NameSpecialtyState
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
-WI
-WI
-WI
Endocrinology, Internal MedicineWI
Medical Oncology, Hematology/OncologyCA
Internal MedicineWI

Reviews

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Frequently asked questions

How do payers reference JACQUELYN BYRD?
For JACQUELYN BYRD, use NPI 1003231234 as the unique 10-digit identifier.
Is JACQUELYN BYRD still an active registrant?
JACQUELYN BYRD carries an active NPI according to the public dataset.
What clinical focus is listed for JACQUELYN BYRD?
At a glance, JACQUELYN BYRD is tied to Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JACQUELYN BYRD located near Madison?
JACQUELYN BYRD currently maps to Madison, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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