KYRA MARIA FREY (PA-C) – Physician Assistant, NPI 1104482314

KYRA MARIA FREY (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. PA9112380 (FL). The NPI Number for KYRA MARIA FREY (PA-C) is 1104482314

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KYRA MARIA FREY (PA-C)
NPI
1104482314
Phone
(813) 731-5059
Address
3009 W FAIR OAKS AVE
Enumeration Date
13 May 2019
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9049532000
Graduation Year
2019 (7 years ago)
PAC ID
9739411760
Group Practice PAC ID
5698689297
Professional Enrollment ID
I20191024001532
Address ID
FL322241865JA4500XSXXX500

Contacts

Secure Messaging
kfrey2625667@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for KYRA MARIA FREY (PA-C)

  • 3009, West Fair Oaks Avenue, Tampa, Hillsborough County, Florida, 33611, United States

    TAMPA, FL 336111640

    Phone: (813) 731-5059

    Type: Location

  • 4565 US Highway 17 Ste 200

    Fleming Island, FL 320034823

    Phone: (904) 630-0640

    Fax: (904) 630-0203

    Type: Location

  • 1690 US Highway 1 S Ste F

    St Augustine, FL 320846024

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 232 Ponte Vedra Park Dr

    Ponte Vedra Beach, FL 320826600

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 4268 Oldfield Crossing Dr Ste 201

    Jacksonville, FL 322238800

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 216 Southpark Cir E Ste 216

    St Augustine, FL 320865135

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 15255 Max Legget Pkwy Ste 5300

    Jacksonville, FL 322187274

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2627 Riverside Ave Ste 300

    Jacksonville, FL 322044717

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 10475 Centurion Pkwy N Ste 220

    Jacksonville, FL 322565004

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2 Shircliff Way Ste 605

    Jacksonville, FL 322044762

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 3055 County Road 210 W Ste 110

    St Johns, FL 322597001

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 6800 SOUTHPOINT PKWY STE 300

    JACKSONVILLE, FL 322168203

    Phone: (904) 634-0640

    Type: Mailing

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Orthofix Medical, Inc. ($47).

Total Amount

$47

General + Research + Ownership

Payments

1

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Orthofix Medical, Inc.$47
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: 2019-10-24

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
I20191024001532IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes11395$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8484$0
73030X-ray of shoulder, minimum of 2 views7140$0
73502X-ray of hip, 2-3 views5947$0
73552X-ray of thigh bone, minimum 2 views3932$0
View full utilization report →

Insurance plans in this area (ZIP 33611)

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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: 5698689297View full group profile
NameSpecialtyState
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
Orthopedic SurgeryFL
Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What NPI should I save for KYRA MARIA FREY (PA-C)?
Save NPI 1104482314 if you need a stable reference for KYRA MARIA FREY (PA-C).
Is KYRA MARIA FREY (PA-C) currently active in the NPI registry?
CMS-published data lists KYRA MARIA FREY (PA-C) as an active registrant.
What does KYRA MARIA FREY (PA-C) treat or focus on?
Patients typically see KYRA MARIA FREY (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KYRA MARIA FREY (PA-C)'s primary listing?
We display Tampa, Florida because that is what the record indicates for KYRA MARIA FREY (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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