STEFANIE MARIE INDELLICATI (PA-C) – Physician Assistant, NPI 1285188219
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for STEFANIE MARIE INDELLICATI (PA-C)
16461 Domestic Avenue
Fort Myers, FL 339123391
Phone: (877) 266-7768
Fax: (603) 952-3900
Type: Location
Trimaran Place, Tampa, Hillsborough County, Florida, 33615-3809, United States
TAMPA, FL 336075837
Phone: (352) 812-0102
Type: Mailing
Bayfront Health St. Petersburg's Sports Medicine Center, 603, 7th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States
SUITE 360
ST PETERSBURG, FL 337014719
Phone: (727) 553-7300
Type: Location
4700 EXCHANGE CT STE 110
BOCA RATON, FL 334314450
Phone: (561) 964-6664
Fax: (561) 964-8599
Type: Mailing
603 VILLAGE BLVD STE 201
WEST PALM BEACH, FL 334091972
Phone: (561) 964-6664
Fax: (561) 964-8599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $3,078.
Total Amount is formed as General ($3,078) + Research ($0) + Ownership ($0) = $3,078.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Lumenis BE inc ($1,261).
Total Amount
$3,078
General + Research + Ownership
Payments
49
Total payment records
General Amount
$3,078
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lumenis BE inc | $1,261 |
| Dermavant Sciences, Inc. | $451 |
| Amgen Inc. | $274 |
| Sun Pharmaceutical Industries Inc. | $242 |
| PFIZER INC. | $206 |
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: 2016-09-27
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 |
|---|---|---|---|---|
| I20160927001985 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 659 | 126 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 223 | 223 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 201 | 189 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 189 | 175 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 137 | 114 | $0 |
Insurance plans in this area (ZIP 33912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL |
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