KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1164041059

KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA9112977 (FL). The NPI Number for KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) is 1164041059

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT)
NPI
1164041059
Phone
(239) 274-8200
Address
4371 VERONICA S SHOEMAKER BLVD
Enumeration Date
10 April 2020
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616947776
Graduation Year
2019 (7 years ago)
PAC ID
4183048481
Group Practice PAC ID
0547153389
Professional Enrollment ID
I20200720000179
Address ID
FL334587830JU2055XTRLX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT)

  • 4371 VERONICA S SHOEMAKER BLVD

    FORT MYERS, FL 339162216

    Phone: (239) 274-8200

    Type: Mailing

  • 5507 S CONGRESS AVE STE 130

    ATLANTIS, FL 334621139

    Phone: (561) 366-4100

    Fax: (561) 439-2717

    Type: Location

  • 4215 BURNS RD STE 100

    PALM BEACH GARDENS, FL 334104627

    Phone: (561) 694-7776

    Fax: (561) 694-3099

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $453.

Total Amount is formed as General ($453) + Research ($0) + Ownership ($0) = $453.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($242).

Total Amount

$453

General + Research + Ownership

Payments

21

Total payment records

General Amount

$453

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-07-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200720000179IPhysician 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
27130Replacement of thigh bone and hip joint with prosthesis3534$0
27447Replacement of knee joint, both sides of knee2827$0
20985Computer-assisted surgery for muscle and bone procedure2120$0
View full utilization report →

Insurance plans in this area (ZIP 33916)

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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: 0547153389View full group profile
NameSpecialtyState
-FL
Orthopedic Surgery, Hand SurgeryMI
Physical Therapist In Private PracticeAL
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Hand SurgeryFL
P O D I A T R YFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL

Reviews

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Frequently asked questions

Does KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) uses 1164041059.
Does CMS list KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) as active?
Yes — KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) is active in the NPI listing used on this page.
What is KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) best known for clinically?
Directory data describes KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) list a practice location?
Patients near Fort Myers, Florida may find KELSEY LOUISE HAGAN-BZURA (PHYSICIAN ASSISTANT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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