MISS NICOLA A KEMMERER (PA) – Physician Assistant, NPI 1215113378
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MISS NICOLA A KEMMERER (PA)
100, Northwest 170th Street, North Miami Beach, Miami-Dade County, Florida, 33169, United States
SUITE 208
NORTH MIAMI BEACH, FL 331695510
Phone: (305) 405-6519
Fax: (305) 405-0048
Type: Location
8390, ChampionsGate Boulevard, ChampionsGate, Osceola County, Florida, 33896, United States
SUITE 215
CHAMPIONS GATE, FL 338968310
Phone: (407) 390-1677
Fax: (407) 390-1765
Type: Mailing
6255 W SUNSET BLVD FL 21
LOS ANGELES, CA 900287422
Phone: (323) 860-5200
Fax: (234) 677-1193
Type: Mailing
100 NW 170TH ST STE 208
NORTH MIAMI BEACH, FL 331695510
Phone: (305) 405-0045
Fax: (305) 405-0048
Type: Location
735 Piedmont Ave NE
Atlanta, GA 303081416
Phone: (404) 588-4680
Fax: (404) 588-4692
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-02-03 • Largest payer in this snapshot: ViiV Healthcare Company ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $19 |
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: 2024-01-25
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 |
|---|---|---|---|---|
| I20081112000311 | I | Physician Assistant | FL | TBD |
| I20240125001516 | I | Physician Assistant | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33169)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine, Infectious Disease | FL | |
| Infectious Disease, Internal Medicine | CA | |
| - | FL | |
| - | SC | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Family Practice | SC | |
| P S Y C H I A T R Y | FL |
Reviews
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