COREY DEDMON – Nurse Practitioner, NPI 1164151197

COREY DEDMON is a healthcare provider. based in Land o lakes, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11020067 (FL). The NPI Number for COREY DEDMON is 1164151197

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
COREY DEDMON
NPI
1164151197
Phone
(813) 862-8341
Address
4923 PATAGONIA PL
Enumeration Date
6 June 2022
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525156000
Graduation Year
2022 (4 years ago)
PAC ID
7618352055
Group Practice PAC ID
2466764832
Professional Enrollment ID
I20220921000293
Address ID
FL346095680SP491XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for COREY DEDMON

  • 4923 PATAGONIA PL

    LAND O LAKES, FL 346383733

    Phone: (813) 862-8341

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Inari Medical, Inc. ($151).

Total Amount

$184

General + Research + Ownership

Payments

3

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$151
PFIZER INC.$33
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: 2022-09-21

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
I20220921000293INurse PractitionerFLTBD

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
99285Emergency department visit with high level of medical decision making6565$0
99284Emergency department visit with moderate level of medical decision making5454$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2322$0
View full utilization report →

Insurance plans in this area (ZIP 34638)

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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: 2466764832View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

Can I verify COREY DEDMON with an NPI only?
You can start verification with NPI 1164151197 for COREY DEDMON, then check state licensing separately.
Is COREY DEDMON listed as active for patients and plans?
The listing shows COREY DEDMON as active in the NPI system.
What taxonomy line describes COREY DEDMON?
For research purposes, treat COREY DEDMON as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect COREY DEDMON on a map?
Expect Land O Lakes, Florida as a primary anchor for COREY DEDMON unless the record lists multiple sites.
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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