TYLER STEPHANIE PASSALACQUA (PA-C) – Medical Physician Assistant, NPI 1225659147
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for TYLER STEPHANIE PASSALACQUA (PA-C)
106 NE 2ND ST.
BOCA RATON, FL 33432
Phone: (561) 391-8086
Fax: (954) 418-1698
Type: Location
950 GLADES RD STE 4A
BOCA RATON, FL 334316401
Phone: (561) 391-8086
Fax: (954) 418-1698
Type: Location
4855 W HILLSBORO BLVD STE B-2
COCONUT CREEK, FL 33073
Phone: (954) 418-1683
Fax: (954) 418-1698
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 99 Open Payments records for all available years, with a total value of $2,281.
Total Amount is formed as General ($2,281) + Research ($0) + Ownership ($0) = $2,281.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($368).
Total Amount
$2,281
General + Research + Ownership
Payments
99
Total payment records
General Amount
$2,281
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $368 |
| Amgen Inc. | $272 |
| Lilly USA, LLC | $257 |
| GlaxoSmithKline, LLC. | $181 |
| Exact Sciences Corporation | $162 |
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: 2021-04-14
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 |
|---|---|---|---|---|
| I20210414000988 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33432)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
Reviews
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