PAULA DEAUN JACKSON (CRNP) – Pediatric Nurse Practitioner, NPI 1801877907
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PAULA DEAUN JACKSON (CRNP)
Saint Christopher's Hospital for Children, 160, East Erie Avenue, Franklinville, Philadelphia, Philadelphia County, Pennsylvania, 19134, United States
SUITE 3311
PHILADELPHIA, PA 191341011
Phone: (215) 427-3871
Fax: (215) 492-8119
Type: Location
8438, Suffolk Place, Southwest Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19153, United States
PHILADELPHIA, PA 191531913
Phone: (215) 840-6000
Fax: (215) 492-8119
Type: Mailing
1015 Chestnut St Ste 1520
Philadelphia, PA 191074315
Phone: (855) 675-4010
Type: Location
1511 Carpenter St
Philadelphia, PA 191462110
Phone: (215) 923-2690
Type: Location
PO BOX 13579
READING, PA 196123579
Phone: (484) 628-1324
Type: Mailing
160 E ERIE AVE STE 3311
PHILADELPHIA, PA 191341011
Phone: (215) 427-3803
Fax: (215) 492-8119
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,031.
Total Amount is formed as General ($1,031) + Research ($0) + Ownership ($0) = $1,031.
Last reported payment date: 2023-12-14 • Largest payer in this snapshot: ABBVIE INC. ($463).
Total Amount
$1,031
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,031
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $463 |
| Janssen Pharmaceuticals, Inc | $235 |
| GlaxoSmithKline, LLC. | $145 |
| ViiV Healthcare Company | $115 |
| Teva Pharmaceuticals USA, Inc. | $32 |
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: 2011-12-27
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 |
|---|---|---|---|---|
| I20111227000017 | I | Nurse Practitioner | PA | 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 19134)
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