LUDMYLA J. STADDON (ARNP) – Family Nurse Practitioner, NPI 1093945594
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for LUDMYLA J. STADDON (ARNP)
5010, South Florida Avenue, Lakeland, Polk County, Florida, 33813, United States
LAKELAND, FL 338132510
Phone: (863) 644-2411
Fax: (863) 648-4969
Mailing address matches the actual address.
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: 2023-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| I20091021000762 | I | Nurse Practitioner | FL | TBD |
| I20221202002662 | I | Nurse Practitioner | KS | TBD |
| I20221207003153 | I | Nurse Practitioner | DC | TBD |
| I20221209000236 | I | Nurse Practitioner | NH | TBD |
| I20221212000218 | I | Nurse Practitioner | ME | TBD |
| I20221212002133 | I | Nurse Practitioner | RI | TBD |
| I20221219000593 | I | Nurse Practitioner | KY | TBD |
| I20230131000602 | I | Nurse Practitioner | OH | TBD |
| I20230426001913 | I | Nurse Practitioner | MA | TBD |
| I20230809002980 | I | Nurse Practitioner | DE | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 33813)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH |
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