KATHLEEN YANCEY (RD, PA) – Physician Assistant, NPI 1053087114
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for KATHLEEN YANCEY (RD, PA)
929 Ironridge Ct
Orange Park, FL 320655747
Phone: (904) 614-0670
Type: Location
929 IRONRIDGE CT
ORANGE PARK, FL 320655747
Phone: (904) 614-0670
Type: Mailing
906 PARK AVE
ORANGE PARK, FL 320734120
Phone: (904) 541-0315
Fax: (904) 541-0316
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 139 Open Payments records for all available years, with a total value of $2,983.
Total Amount is formed as General ($2,983) + Research ($0) + Ownership ($0) = $2,983.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($535).
Total Amount
$2,983
General + Research + Ownership
Payments
139
Total payment records
General Amount
$2,983
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $535 |
| GENZYME CORPORATION | $499 |
| LEO Pharma Inc. | $304 |
| Regeneron Healthcare Solutions, Inc. | $228 |
| Galderma Laboratories, L.P. | $124 |
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: 2021-11-08
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 |
|---|---|---|---|---|
| I20211108002051 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 639 | 453 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 433 | 128 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 355 | 283 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 271 | 218 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 201 | 115 | $0 |
Insurance plans in this area (ZIP 32065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL |
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