MS. KRISTINE ROBERTA ILGENFRITZ (PAC) – Physician Assistant, NPI 1144382623
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. KRISTINE ROBERTA ILGENFRITZ (PAC)
5th Street North, Downtown, Saint Petersburg, Pinellas County, Florida, 33701, United States
ST PETERSBURG, FL 337022211
Phone: (727) 824-0780
Fax: (727) 568-6011
Type: Mailing
109 TIMBERLACHEN CIR
LAKE MARY, FL 327463395
Phone: (407) 333-9877
Fax: (407) 333-9881
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $762.
Total Amount is formed as General ($762) + Research ($0) + Ownership ($0) = $762.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($274).
Total Amount
$762
General + Research + Ownership
Payments
29
Total payment records
General Amount
$762
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $274 |
| IBSA Pharma Inc. | $125 |
| Lilly USA, LLC | $87 |
| Astellas Pharma US Inc | $78 |
| Amgen Inc. | $54 |
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: 2007-01-20
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 |
|---|---|---|---|---|
| I20070120000010 | 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 33702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Geriatric Medicine, Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| - | FL |
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