NICKLINE CLERVIL EMILE – Vascular & Interventional Radiology Physician, NPI 1205481488
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for NICKLINE CLERVIL EMILE
235 Paquita Cir SW
Palm Bay, FL 329083468
Phone: (954) 632-9694
Type: Location
235, Paquita Cir SW, Stoneridge, Palm Bay, Brevard County, Florida, 32908, United States
PALM BAY, FL 329083468
Phone: (954) 632-9694
Type: Mailing
415, South Wickham Road, West Melbourne, Brevard County, Florida, 32904, United States
WEST MELBOURNE, FL 329041137
Phone: (321) 400-1220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $803.
Total Amount is formed as General ($803) + Research ($0) + Ownership ($0) = $803.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($321).
Total Amount
$803
General + Research + Ownership
Payments
29
Total payment records
General Amount
$803
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
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $321 |
| Next Science LLC | $159 |
| Medtronic, Inc. | $108 |
| KCI USA, Inc. | $33 |
| ConvaTec Inc. | $29 |
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: 2019-12-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191209001375 | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 122 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 32908)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| U R O L O G Y | FL | |
| Endocrinology, Endocrinology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| Internal Medicine | MA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | FL | |
| Physician Assistant | VA |
Reviews
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