JESSICA HOLLEY TWEEDY (MSN, CRNP) – Family Nurse Practitioner, NPI 1356341366
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JESSICA HOLLEY TWEEDY (MSN, CRNP)
7251 ENGLE RD STE 402
MIDDLEBURG HEIGHTS, OH 441303400
Phone: (440) 826-0500
Fax: (440) 826-0501
Type: Location
539, Saint Joseph Street, Lancaster, Lancaster County, Pennsylvania, 17603, United States
LANCASTER, PA 176035237
Phone: (717) 203-3970
Type: Mailing
113 Glenn Pl Unit 100
Lexington, KY 405053518
Phone: (833) 358-2278
Type: Location
312 SW Greenwich Dr # 315
Lees Summit, MO 640824408
Phone: (657) 237-2450
Type: Location
1514 Bienville Blvd
Ocean Springs, MS 395643006
Phone: (657) 237-2450
Type: Location
2645 Meridian Pkwy Ste 323
Durham, NC 277134232
Phone: (984) 227-8902
Type: Location
539 Saint Joseph St
Lancaster, PA 17603
Phone: (717) 203-3970
Type: Location
10 Dorrance St Ste 700
Providence, RI 029032014
Phone: (833) 229-0957
Type: Location
2401 Park Dr Ste 101
Harrisburg, PA 171109303
Phone: (657) 237-2450
Type: Location
1055 Westlakes Dr Ste 3152
Berwyn, PA 193122410
Phone: (215) 346-6050
Fax: (215) 220-3562
Type: Location
PO BOX 639295
CINCINNATI, OH 452639295
Phone: (440) 826-0500
Fax: (440) 826-0501
Type: Mailing
101, Park Drive, Sylvan Beach, La Porte, Harris County, Texas, 77571, United States
HARRISBURG, PA 171109303
Phone: (657) 237-2450
Type: Location
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: 2019-01-10
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 |
|---|---|---|---|---|
| I20041129000346 | I | Nurse Practitioner | PA | TBD |
| I20190110001667 | I | Nurse Practitioner | OH | 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 44130)
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