MR. PETER KOMATZ (ARNP) – Nurse Practitioner, NPI 1164442836

MR. PETER KOMATZ (ARNP) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP2914192 (FL). The NPI Number for MR. PETER KOMATZ (ARNP) is 1164442836

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. PETER KOMATZ (ARNP)
NPI
1164442836
Phone
(904) 493-5100
Address
1235 San Marco Blvd
Enumeration Date
19 July 2006
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612634400
Graduation Year
2002 (24 years ago)
PAC ID
8224137443
Group Practice PAC ID
4284797069
Professional Enrollment ID
I20070926001115
Address ID
FL334587205JU1240XHWYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MR. PETER KOMATZ (ARNP)

  • 1235 San Marco Blvd

    Suite 3

    Jacksonville, FL 322078554

    Phone: (904) 493-5100

    Fax: (904) 493-5130

    Type: Location

  • North Tenaya Way, Las Vegas, Clark County, Nevada, 89128, United States

    STE 301

    LAS VEGAS, NV 891281112

    Phone: (702) 216-3346

    Fax: (702) 671-6883

    Type: Mailing

  • 1235, San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States

    SUITE 3

    JACKSONVILLE, FL 322078554

    Phone: (904) 493-5100

    Fax: (904) 493-5130

    Type: Location

  • PO BOX 95000-8797

    PHILADELPHIA, PA 191950001

    Phone: (561) 263-7270

    Fax: (561) 263-7260

    Type: Mailing

  • 1240 S OLD DIXIE HWY FLOOR 2

    JUPITER, FL 334588554

    Phone: (561) 263-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($118).

Total Amount

$253

General + Research + Ownership

Payments

7

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

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: 2007-09-26

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
I20070926001115INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32207)

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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: 4284797069View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
General SurgeryFL
Hospitalist, Internal MedicineFL
Internal MedicineFL
Physician AssistantFL

Reviews

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Frequently asked questions

Can I verify MR. PETER KOMATZ (ARNP) with an NPI only?
You can start verification with NPI 1164442836 for MR. PETER KOMATZ (ARNP), then check state licensing separately.
Is MR. PETER KOMATZ (ARNP) still practicing?
MR. PETER KOMATZ (ARNP) is currently listed as active in the public NPI registry.
What healthcare role does MR. PETER KOMATZ (ARNP) hold?
Scheduling teams often label MR. PETER KOMATZ (ARNP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. PETER KOMATZ (ARNP) list a practice location?
Patients near Jacksonville, Florida may find MR. PETER KOMATZ (ARNP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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