SIMONE TAIJAE PERSON FORT (PA-C) – Medical Physician Assistant, NPI 1134854813
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for SIMONE TAIJAE PERSON FORT (PA-C)
1301 2ND AVE SW STE 315
LARGO, FL 337703120
Phone: (727) 587-7120
Type: Mailing
10150 HIGHLAND MANOR DR STE 205
TAMPA, FL 336109727
Phone: (813) 259-1013
Fax: (813) 254-0396
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $493.
Total Amount is formed as General ($493) + Research ($0) + Ownership ($0) = $493.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($133).
Total Amount
$493
General + Research + Ownership
Payments
11
Total payment records
General Amount
$493
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $133 |
| SI-BONE, INC. | $124 |
| Neurelis, Inc. | $82 |
| Corcept Therapeutics | $36 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $32 |
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: 2022-11-02
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 |
|---|---|---|---|---|
| I20221102000900 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 26 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 20 | $0 |
Insurance plans in this area (ZIP 33770)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | SC | |
| Pulmonary Disease, Critical Care (Intensivists) | NY | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NY | |
| Physician Assistant | AL | |
| Nurse Practitioner | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.