VIVIAN PAULINE HAIDERMOTA (FNP, APRN) – Family Nurse Practitioner, NPI 1326676933
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for VIVIAN PAULINE HAIDERMOTA (FNP, APRN)
14100 FIVAY RD STE 160
HUDSON, FL 346677194
Phone: (727) 862-1080
Type: Mailing
14000 FIVAY RD
HUDSON, FL 346677103
Phone: (727) 819-2929
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $445.
Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.
Last reported payment date: 2024-03-01 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($371).
Total Amount
$445
General + Research + Ownership
Payments
6
Total payment records
General Amount
$445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $371 |
| Medtronic, Inc. | $50 |
| CARDIVA MEDICAL, INC. | $25 |
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: 2020-12-23
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 |
|---|---|---|---|---|
| I20201223001667 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 57 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 54 | 51 | $0 |
Insurance plans in this area (ZIP 34667)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Interventional Cardiology, Critical Care (Intensivists), Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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