EILEEN M COHEN (PA-C) – Physician Assistant, NPI 1013979731
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EILEEN M COHEN (PA-C)
12700 CREEKSIDE LN
STE 101
FORT MYERS, FL 339193356
Phone: (239) 432-0774
Fax: (239) 432-9404
Type: Mailing
632 Del Prado Blvd N Ste 101
Cape Coral, FL 339092278
Phone: (239) 772-5577
Fax: (239) 573-1528
Type: Location
12600 Creekside Ln Ste 300
Fort Myers, FL 339193353
Phone: (239) 772-5577
Fax: (239) 573-1528
Type: Location
8260 Gladiolus Dr
Fort Myers, FL 339084156
Phone: (239) 437-5755
Fax: (239) 437-5776
Type: Location
12700 Creekside Ln Ste 101
Fort Myers, FL 339193356
Phone: (239) 432-0774
Fax: (239) 432-9404
Type: Location
PO BOX 749495
ATLANTA, GA 303749495
Phone: (855) 963-2100
Fax: (813) 321-1296
Type: Mailing
14551 HOPE CENTER LOOP STE 200
FORT MYERS, FL 339124705
Phone: (239) 264-7026
Fax: (239) 567-3679
Type: Location
8260 GLADIOLUS DR
FORT MYERS, FL 339084156
Phone: (239) 437-5755
Fax: (239) 437-5776
Type: Location
632, Del Prado Boulevard North, Cape Coral, Lee County, Florida, 33909, United States
STE 101
CAPE CORAL, FL 339092278
Phone: (239) 432-0774
Fax: (239) 432-9404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $326.
Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($53).
Total Amount
$326
General + Research + Ownership
Payments
14
Total payment records
General Amount
$326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-04-01
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 |
|---|---|---|---|---|
| I20040401001457 | I | Physician Assistant | FL | 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 33919)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 38 | 38 |
| PHYSICIAN ASSISTANT | FL | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 12 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
Reviews
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