SAKEENA BACCAS (PA-C) – Physician Assistant, NPI 1114199700

SAKEENA BACCAS (PA-C) is a healthcare provider. based in Winter haven, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9104942 (FL). The NPI Number for SAKEENA BACCAS (PA-C) is 1114199700

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
SAKEENA BACCAS (PA-C)
NPI
1114199700
Phone
(617) 549-5119
Address
2683 WYNDSOR OAKS WAY
Enumeration Date
24 March 2008
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
5698845923
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20241126002377
Address ID
GA303452711AT2201XNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for SAKEENA BACCAS (PA-C)

  • 2683 WYNDSOR OAKS WAY

    WINTER HAVEN, FL 338843080

    Phone: (617) 549-5119

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-3800

    Fax: (239) 343-4261

    Type: Mailing

  • 632 DEL PRADO BLVD N

    CAPE CORAL, FL 339092278

    Phone: (239) 772-5577

    Fax: (239) 573-1528

    Type: Location

  • 2683 Wyndsor Oaks Way

    Winter Haven, FL 338843080

    Phone: (617) 549-5119

    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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090611000050IPhysician AssistantFLTBD
I20241126002377IPhysician AssistantGATBD

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
22614Fusion of additional segment of spine3616$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment2413$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion1912$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment1717$0
22842Placement of stabilizing device to back, 3-6 spine bone segments1414$0
View full utilization report →

Insurance plans in this area (ZIP 33884)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Where can patients find SAKEENA BACCAS (PA-C)'s NPI?
You can confirm SAKEENA BACCAS (PA-C) with NPI 1114199700; it appears in the national provider directory.
Is SAKEENA BACCAS (PA-C)'s NPI currently valid?
The extract we use shows SAKEENA BACCAS (PA-C) as active.
What kind of provider is SAKEENA BACCAS (PA-C)?
The page reflects Physician Assistant for SAKEENA BACCAS (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for SAKEENA BACCAS (PA-C)?
We surface Winter Haven, Florida for SAKEENA BACCAS (PA-C) based on available NPPES addresses.
What if Winter Haven, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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