LUL KASSIM (FNP) – Family Nurse Practitioner, NPI 1194111450
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for LUL KASSIM (FNP)
8001 9TH ST N
SAINT PETERSBURG, FL 337024109
Phone: (612) 987-0143
Type: Mailing
10925 STATE ROAD 54
NEW PORT RICHEY, FL 346552277
Phone: (727) 577-6888
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150508002268 | I | Nurse Practitioner | MN | TBD |
| I20161031001635 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 24 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 33702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Psychiatry | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Physical Medicine And Rehabilitation, Interventional Pain Management, Pain Management | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Physical Medicine And Rehabilitation, Pain Management | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN |
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