KATHRYN A KLOSS (PA-C) – Medical Physician Assistant, NPI 1063715092

KATHRYN A KLOSS (PA-C) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA054766 (PA). The NPI Number for KATHRYN A KLOSS (PA-C) is 1063715092

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN A KLOSS (PA-C)
NPI
1063715092
Phone
(813) 995-1775
Address
2909 W BAY TO BAY BLVD STE 210
Enumeration Date
14 December 2010
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136368300
Graduation Year
2010 (16 years ago)
PAC ID
6002097912
Group Practice PAC ID
0143309922
Professional Enrollment ID
I20160523001818
Address ID
FL336074629TA1300XBLVD501
Telehealth
Yes

Contacts

Main Contact
tampaneuropsychiatryllc.faiziahmed@139941.advancedmd-direct.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for KATHRYN A KLOSS (PA-C)

  • 2909 W BAY TO BAY BLVD STE 210

    TAMPA, FL 336298100

    Phone: (813) 995-1775

    Fax: (813) 642-4877

    Type: Mailing

  • 603 S BOULEVARD FL 2

    TAMPA, FL 336062629

    Phone: (813) 995-1775

    Fax: (813) 642-4877

    Type: Mailing

  • 1300 N WEST SHORE BLVD STE 240

    TAMPA, FL 336074629

    Phone: (813) 636-8300

    Fax: (813) 636-8301

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 322 Open Payments records for all available years, with a total value of $18,560.

Total Amount is formed as General ($18,560) + Research ($0) + Ownership ($0) = $18,560.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($6,274).

Total Amount

$18,560

General + Research + Ownership

Payments

322

Total payment records

General Amount

$18,560

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160523001818IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes26384$0
90833Psychotherapy with evaluation and management visit, 30 minutes26286$0
View full utilization report →

Insurance plans in this area (ZIP 33629)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143309922View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify KATHRYN A KLOSS (PA-C) with an NPI only?
You can start verification with NPI 1063715092 for KATHRYN A KLOSS (PA-C), then check state licensing separately.
Does the file indicate KATHRYN A KLOSS (PA-C) is practicing under active NPI?
Directory data currently reports KATHRYN A KLOSS (PA-C) as active.
What healthcare role does KATHRYN A KLOSS (PA-C) hold?
Scheduling teams often label KATHRYN A KLOSS (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KATHRYN A KLOSS (PA-C) list a practice location?
Patients near Tampa, Florida may find KATHRYN A KLOSS (PA-C) in results; validate coverage separately.
Is the information about KATHRYN A KLOSS (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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