MS. KATELYN PRZYBYSZEWSKI (MPAS, PA-C) – Medical Physician Assistant, NPI 1114385069
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. KATELYN PRZYBYSZEWSKI (MPAS, PA-C)
43378 US 27
SUITE A
DAVENPORT, FL 33837
Phone: (863) 282-2082
Type: Location
4371, East Lohman Avenue, Las Cruces, Doña Ana County, New Mexico, 88011, United States
LAS CRUCES, NM 880118255
Phone: (575) 532-8900
Fax: (575) 532-8910
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: 2024-08-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220215000357 | I | Physician Assistant | NY | TBD |
| I20240813004476 | 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 33837)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NM | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | NM | |
| Thoracic Surgery | CO | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| Pulmonary Disease | NM | |
| Diagnostic Radiology | NV | |
| Orthopedic Surgery | NM | |
| - | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NM |
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