HEATHER TATE – Physician Assistant, NPI 1174032247

HEATHER TATE is a healthcare provider. based in St petersburg, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9110573 (FL). The NPI Number for HEATHER TATE is 1174032247

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER TATE
NPI
1174032247
Phone
Not provided
Address
6006 49TH ST N STE 200
Enumeration Date
21 September 2017
Last Update Date
29 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
5496013625
Group Practice PAC ID
8729260641
Professional Enrollment ID
I20171218001124
Address ID
FL337092149ST6006XNXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for HEATHER TATE

  • 49th Street North, Disston Heights, Saint Petersburg, Pinellas County, Florida, 33710, United States

    ST PETERSBURG, FL 337092149

    Phone:

    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 51 Open Payments records for all available years, with a total value of $945.

Total Amount is formed as General ($945) + Research ($0) + Ownership ($0) = $945.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($170).

Total Amount

$945

General + Research + Ownership

Payments

51

Total payment records

General Amount

$945

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

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: 2017-12-18

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
I20171218001124IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes336178$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report10689$0
99213Established patient office or other outpatient visit, 20-29 minutes2720$0
View full utilization report →

Insurance plans in this area (ZIP 33709)

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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: 8729260641View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantGA
Vascular Surgery, Cardiac Surgery, Thoracic SurgeryFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Thoracic Surgery, General SurgeryMD
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

What is the registry number for HEATHER TATE?
The registry entry for HEATHER TATE shows NPI 1174032247.
Does the public listing show HEATHER TATE as active?
HEATHER TATE's NPI record reflects an active status in NPPES.
Which specialty label fits HEATHER TATE?
NPPES ties HEATHER TATE to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to HEATHER TATE?
The directory associates HEATHER TATE with St Petersburg, Florida. Check all listed addresses for suites or satellite offices.
Who maintains HEATHER TATE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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