MRS. DANIELLE NICOLE JIVIDEN (PA-C) – Physician Assistant, NPI 1033889175
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. DANIELLE NICOLE JIVIDEN (PA-C)
9981 S HEALTHPARK DR
FORT MYERS, FL 339083618
Phone: (239) 343-2052
Fax: (239) 343-5848
Type: Location
13861 Plantation Rd
Fort Myers, FL 339124342
Phone: (392) 225-1306
Type: Location
323 Del Prado Blvd S
Cape Coral, FL 339901747
Phone: (239) 574-3382
Fax: (239) 574-5897
Type: Location
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
323 DEL PRADO BLVD S
CAPE CORAL, FL 339901747
Phone: (239) 574-3382
Fax: (239) 574-5897
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-2052
Fax: (239) 343-5848
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $925.
Total Amount is formed as General ($925) + Research ($0) + Ownership ($0) = $925.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($306).
Total Amount
$925
General + Research + Ownership
Payments
43
Total payment records
General Amount
$925
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
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: 2021-10-28
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 |
|---|---|---|---|---|
| I20211028001638 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 358 | 272 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 103 | 86 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 83 | 74 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 81 | 72 | $0 |
| 81003 | Automated urinalysis test | 57 | 55 | $0 |
Insurance plans in this area (ZIP 33908)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| Gastroenterology, Internal Medicine | FL | |
| - | FL |
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