JERAD RARDIN – Nurse Practitioner, NPI 1083163042
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for JERAD RARDIN
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-3800
Fax: (239) 343-3993
Type: Mailing
13685 DOCTORS WAY STE 350
FORT MYERS, FL 339124347
Phone: (239) 343-3800
Fax: (239) 343-3993
Type: Location
13th Avenue, East Highlands, Columbus, Muscogee County, Georgia, 31993, United States
COLUMBUS, GA 319012563
Phone: (706) 321-9300
Fax: (706) 243-1284
Type: Mailing
12700 CREEKSIDE LN STE 101
FORT MYERS, FL 339193356
Phone: (239) 432-0774
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $800.
Total Amount is formed as General ($800) + Research ($0) + Ownership ($0) = $800.
Last reported payment date: 2023-10-12 • Largest payer in this snapshot: SI-BONE, INC. ($612).
Total Amount
$800
General + Research + Ownership
Payments
9
Total payment records
General Amount
$800
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-12
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: 2021-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20161101000780 | I | Nurse Practitioner | GA | TBD |
| I20161111000087 | I | Nurse Practitioner | AL | TBD |
| I20211110001866 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 13 | 12 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 33902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Critical Care (Intensivists), Pediatric Medicine | FL | |
| General Surgery | MI | |
| N E U R O L O G Y | MO | |
| Medical Genetics And Genomics | MI | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| General Surgery | FL | |
| Family Practice | FL |
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