NICOLETTE CROSBY – Physician Assistant, NPI 1043839442
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for NICOLETTE CROSBY
11621 Kew Gardens Ave Ste 101A
Palm Beach Gardens, FL 334102853
Phone: (561) 253-3980
Fax: (561) 253-3985
Type: Location
303 S BUNGALOW PARK AVE UNIT B
TAMPA, FL 336093157
Phone:
Type: Mailing
PO BOX 160748
ALTAMONTE SPRINGS, FL 327160748
Phone: (561) 253-3980
Type: Mailing
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 334612171
Phone: (561) 253-3980
Fax: (561) 253-3985
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 $1,619.
Total Amount is formed as General ($1,619) + Research ($0) + Ownership ($0) = $1,619.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Medtronic, Inc. ($301).
Total Amount
$1,619
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,619
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $301 |
| SOBI, INC | $256 |
| Lilly USA, LLC | $223 |
| PFIZER INC. | $202 |
| Incyte Corporation | $160 |
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: 2021-01-07
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 |
|---|---|---|---|---|
| I20210107002209 | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 19 | 11 | $0 |
Insurance plans in this area (ZIP 33410)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Medical Oncology | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Medical Oncology | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Medical Oncology, Internal Medicine | FL | |
| Medical Oncology | FL | |
| Hematology/Oncology, Internal Medicine | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL |
Reviews
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