MRS. JESSICA GREEN-BURNS (APRN-CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1952661696
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JESSICA GREEN-BURNS (APRN-CNP)
638 MUSTANG CANYON DR
GALLOWAY, OH 431198318
Phone: (614) 634-8801
Type: Mailing
8687 E VIA DE VENTURA STE 310
SCOTTSDALE, AZ 852583351
Phone: (480) 866-9211
Type: Location
2438 DEEWOOD DR
COLUMBUS, OH 432292261
Phone: (614) 634-8801
Type: Mailing
136 W CENTER ST
MARION, OH 433023704
Phone: (740) 751-6380
Fax: (740) 751-4614
Type: Location
3433 AGLER RD STE 2000
COLUMBUS, OH 432193397
Phone: (800) 985-9713
Fax: (800) 985-9713
Type: Location
3970 Post Rd
Warwick, RI 028869235
Phone: (800) 985-9713
Fax: (800) 985-9713
Type: Location
8687 E Via De Ventura Ste 310
Scottsdale, AZ 852583351
Phone: (480) 866-9211
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: 2023-06-08
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 |
|---|---|---|---|---|
| I20210304001866 | I | Nurse Practitioner | OH | TBD |
| I20230608000407 | I | Nurse Practitioner | RI | 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 43119)
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