REBECCA ERVIN (DO) – Student in an Organized Health Care Education/Training Program, NPI 1093300618
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
Provider Addresses for REBECCA ERVIN (DO)
1190 E WASHINGTON ST UNIT 207
TAMPA, FL 336023711
Phone: (214) 577-3538
Type: Mailing
3525 SOUTHERN BLVD
KETTERING, OH 454291221
Phone: (937) 395-8839
Type: Location
5955 ZEAMER AVE BLDG 5955
ANCHORAGE, AK 995063702
Phone: (907) 580-5556
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: 2024-12-11
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 |
|---|---|---|---|---|
| I20241211001445 | I | Emergency Medicine | AK | 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 33602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| - | WI | |
| Emergency Medicine | NY | |
| Emergency Medicine | IL | |
| - | AK | |
| Emergency Medicine | CA | |
| - | NM | |
| - | AK | |
| Emergency Medicine | ME | |
| Emergency Medicine | AK |
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