COLLEEN WEBER (PA-C, ATC) – Medical Physician Assistant, NPI 1326576836
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 COLLEEN WEBER (PA-C, ATC)
2 TAMPA GENERAL CIR
TAMPA, FL 336063571
Phone: (631) 672-0924
Type: Mailing
14, High Gate Drive, Smithtown, Suffolk County, New York, 11787, United States
SMITHTOWN, NY 117871520
Phone:
Type: Mailing
Florida Gulf Coast University, 10501, FGCU Boulevard South, North Lake Village, Fort Myers, Lee County, Florida, 33965-6565, United States
FORT MYERS, FL 339656502
Phone: (239) 590-1000
Type: Location
7 EXECUTIVE PARK DR NE APT 3311
ATLANTA, GA 303292275
Phone: (631) 672-0924
Type: Mailing
1462 CLIFTON RD NE STE 280
ATLANTA, GA 303226502
Phone: (404) 727-7825
Type: Location
26851 TANIC DR STE 102
WESLEY CHAPEL, FL 335444614
Phone: (631) 672-0924
Type: Mailing
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 $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: SPR Therapeutics, Inc ($148).
Total Amount
$148
General + Research + Ownership
Payments
1
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SPR Therapeutics, Inc | $148 |
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: 2024-07-15
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 |
|---|---|---|---|---|
| I20240715003869 | 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 33606)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Pain Management, Physical Medicine And Rehabilitation | NC | |
| Interventional Pain Management, Anesthesiology | FL | |
| Physician Assistant | FL | |
| P S Y C H I A T R Y | FL | |
| Physician Assistant | FL | |
| Interventional Pain Management | FL | |
| Physician Assistant | FL | |
| Physical Medicine And Rehabilitation, Pain Management, Physical Medicine And Rehabilitation | FL |
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