JACQUELYN OVIDA WHEATLEY-MALONE (ANP) – Family Nurse Practitioner, NPI 1366590408
Family Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACQUELYN OVIDA WHEATLEY-MALONE (ANP)
2001 W 68th St
Hialeah, FL 330161801
Phone: (305) 823-5000
Type: Location
Palmetto General Hospital, 2001, West 68th Street, Hialeah, Miami-Dade County, Florida, 33015, United States
HIALEAH, FL 330161801
Phone: (305) 823-5000
Type: Location
4937, Southwest 166th Avenue, Miramar, Broward County, Florida, 33027, United States
MIRAMAR, FL 330274903
Phone: (954) 431-4293
Type: Mailing
PO BOX 742616
ATLANTA, GA 303742616
Phone:
Type: Mailing
200 S ENOTA DR NE STE 200
GAINESVILLE, GA 305013466
Phone: (770) 534-2020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: LANTHEUS MEDICAL IMAGING, INC. ($24).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LANTHEUS MEDICAL IMAGING, INC. | $24 |
| Amgen Inc. | $22 |
| GE HEALTHCARE | $18 |
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: 2022-12-08
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 |
|---|---|---|---|---|
| I20221208000944 | I | Nurse Practitioner | GA | 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 33016)
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