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Active NPI 1770351769 Individual Practitioner Male Practitioner

Jake Pickens , CRNP

Nurse Practitioner • Haleyville, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jake Pickens, CRNP is a certified Nurse Practitioner practicing in Haleyville, AL. With approximately 3 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2023, Jake Pickens delivers high-quality medical care to the local community at 1728 11TH AVE.

Jake Pickens maintains professional affiliations with Revive Medical Center Llc, Newgen Alabama Billing Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, dexamethasone sodium phosphate, 1 mg, injection, ceftriaxone sodium, per 250 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1728 11th Ave

Haleyville, AL 355651506

Telephone 2054857822
Fax 8334494072
Associated Practice Facility / Clinic
🏢 Revive Medical Center Llc Facility NPI 1740996636

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Haleyville, AL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs Matches City Avg
City Avg: 3.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Haleyville, AL (1475 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pickens (3 Years) 3 Yrs
Haleyville Specialty Average (3.0 Years) 3.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
2,281 49 $1.19 $0.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg
640 101 $10.00 $0.11
J0696 Injection, ceftriaxone sodium, per 250 mg
335 72 $30.00 $0.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
270 121 $40.00 $10.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
209 146 $40.00 $7.54
36415 Insertion of needle into vein for collection of blood sample
205 144 $10.00 $8.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
134 98 $185.00 $93.91
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
105 93 $60.00 $16.20
71046 X-ray of chest, 2 views
73 58 $65.00 $25.04
J1885 Injection, ketorolac tromethamine, per 15 mg
65 28 $30.00 $0.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
63 63 $285.00 $126.08
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
62 59 $75.00 $68.88
81002 Urinalysis, manual test
55 43 $15.00 $3.41
80053 Blood test, comprehensive group of blood chemicals
53 41 $15.00 $10.02
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b
52 46 $150.00 $137.19
J2405 Injection, ondansetron hydrochloride, per 1 mg
44 11 $15.00 $0.09
99213 Established patient office or other outpatient visit, typically 15 minutes
35 32 $130.00 $64.15
93000 Routine ekg using at least 12 leads including interpretation and report
28 23 $120.00 $10.59
J7030 Infusion, normal saline solution , 1000 cc
24 23 $15.00 $2.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $185.00 $85.72
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention
18 17 $60.00 $27.11
96361 Hydration infusion into a vein
18 17 $30.00 $9.19
96375 Injection of additional new drug or substance into vein
16 15 $25.00 $11.40

Medical Specialties & State Licenses

CMS Verified: 2024-01-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1-170309

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Emergency

NUCC Taxonomy Code: 163WE0003X

State License AL 1-170309

Definition to come...

Hospital & Practice Group Affiliations

Newgen Alabama Billing Llc

1300 S Montgomery Ave, Sheffield, AL 356606334

Phone: 2563864196

Revive Medical Center Llc

1728 11th Ave, Haleyville, AL 355651506

Phone: 2054857822

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Amber Farris

Nurse Practitioner - Family

NPI 1396561957

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2023

Registered at 1728 11TH AVE, HALEYVILLE, AL 355651506 (Tel: 2054857822)

📍
Updated Business Mailing Address December 19, 2023

Registered at 1728 11TH AVE, HALEYVILLE, AL 355651506 (Tel: 2054857822)

👤
Provider Name / Credentials Updated December 19, 2023

Recorded as JAKE PICKENS, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2023

Registered Nurse (License #1-170309 in AL)

🟢
Initial NPI Registration & Enumeration December 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770351769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2023
Last Update: January 12, 2024
Sole Proprietor: No

Mailing Address

1728 11th Ave

Haleyville, AL 355651506

Phone: 2054857822

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.