DR. HEATHER JANE CAPPELLO (M.D.) – Family Medicine Physician, NPI 1063623817
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
358 GERIATRIC MEDICINE in FL
Provider Addresses for DR. HEATHER JANE CAPPELLO (M.D.)
500 VONDERBURG DR STE 102
BRANDON, FL 335115968
Phone: (813) 681-5658
Fax: (813) 681-5250
Type: Location
4051 Upper Creek Dr Ste 112
Sun City Center, FL 335736825
Phone: (813) 681-5658
Fax: (813) 681-5250
Type: Location
1505 53RD AVE E
BRADENTON, FL 342034249
Phone: (941) 357-7950
Fax: (941) 840-1003
Type: Location
1515, South Osprey Avenue, Sarasota Heights, Sarasota, Sarasota County, Florida, 34239, United States
SUITE 1-A
SARASOTA, FL 342392939
Phone: (941) 917-7197
Fax: (941) 917-4016
Type: Location
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328860001
Phone: (941) 917-7197
Fax: (941) 917-4016
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-03-05
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 |
|---|---|---|---|---|
| I20200305001018 | I | Geriatric Medicine | 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 33511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Internal Medicine | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | TN | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| - | FL |
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