MS. JENNIFER KAY HIECKE (PA-C) – Physician Assistant, NPI 1083611735
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for MS. JENNIFER KAY HIECKE (PA-C)
1201 5TH AVE N STE 202
ST PETERSBURG, FL 337051410
Phone: (727) 820-7701
Fax: (727) 820-7700
Type: Mailing
Professional Office Building, 1201, 5th Avenue North, Methodist Town, Saint Petersburg, Pinellas County, Florida, 33710, United States
SUITE 202
ST PETERSBURG, FL 337051400
Phone: (727) 820-7701
Fax: (727) 820-7700
Type: Location
Drew Street, Clearwater, Pinellas County, Florida, 34625, United States
CLEARWATER, FL 337593012
Phone: (727) 532-1355
Fax: (813) 635-2613
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $958.
Total Amount is formed as General ($958) + Research ($0) + Ownership ($0) = $958.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: GE HealthCare ($234).
Total Amount
$958
General + Research + Ownership
Payments
36
Total payment records
General Amount
$958
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HealthCare | $234 |
| ABBVIE INC. | $184 |
| UCB, Inc. | $116 |
| Neurocrine BioSciences, Inc. | $83 |
| GE HEALTHCARE | $81 |
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: 2007-04-02
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 |
|---|---|---|---|---|
| I20070402000322 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33705)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 31 | 23 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | TX | |
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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