KATHERINE MEZA DILLEN (PA-C) – Pediatrics Physician, NPI 1295376051
Pediatrics Physician
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Profile Insights
NPPES metrics only — not quality of care.
9,304 PHYSICIAN ASSISTANT in FL
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Provider Addresses for KATHERINE MEZA DILLEN (PA-C)
3160 5TH AVE N UNIT 2202
ST PETERSBURG, FL 337137654
Phone: (845) 282-3389
Type: Mailing
5001, East Busch Boulevard, Tampa, Hillsborough County, Florida, 33617, United States
TAMPA, FL 336175303
Phone: (813) 984-8846
Type: Location
290 SOMERSTON RD
YORKTOWN HEIGHTS, NY 105982122
Phone:
Type: Mailing
PO BOX 198441
ATLANTA, GA 303848441
Phone:
Type: Mailing
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
Phone: (888) 663-3488
Type: Location
400 E MAIN ST
MOUNT KISCO, NY 105493417
Phone: (914) 666-1200
Type: Location
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: 2024-07-31
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200224001686 | I | Physician Assistant | FL | TBD |
| I20240731002837 | I | Physician Assistant | NY | 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 33713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | NY | |
| Diagnostic Radiology | NY | |
| - | NY | |
| - | NY | |
| Infectious Disease | NC | |
| - | NY | |
| - | NY | |
| Cardiac Surgery, Vascular Surgery | NY | |
| - | CA | |
| - | NY |
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