SHELBY HANNAH KAMINSKY (PA-C) – Surgical Physician Assistant, NPI 1336798503

SHELBY HANNAH KAMINSKY (PA-C) is a healthcare provider. based in South pasadena, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9112443 (FL). The NPI Number for SHELBY HANNAH KAMINSKY (PA-C) is 1336798503

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY HANNAH KAMINSKY (PA-C)
NPI
1336798503
Phone
(727) 289-7137
Address
1609 PASADENA AVE S STE 3M
Enumeration Date
10 September 2019
Last Update Date
10 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8137885569
Graduation Year
2019 (7 years ago)
PAC ID
2769817311
Group Practice PAC ID
2961637715
Professional Enrollment ID
I20200109000139
Address ID
FL335446786WE2318XCVXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for SHELBY HANNAH KAMINSKY (PA-C)

  • 3, Pasadena Avenue South, Pasadena, Saint Petersburg, Pinellas County, Florida, 33707, United States

    SOUTH PASADENA, FL 337074563

    Phone: (727) 289-7137

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($24).

Total Amount

$80

General + Research + Ownership

Payments

5

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200109000139IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961637715View full group profile
NameSpecialtyState
-FL
General SurgeryMI
General SurgeryFL
-FL
General Surgery, Colorectal Surgery (Proctology)AZ
General Surgery, Colorectal Surgery (Proctology)FL
Nurse PractitionerFL
Orthopedic SurgeryFL
N E U R O S U R G E R YFL
Physician AssistantFL

Reviews

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Frequently asked questions

Is SHELBY HANNAH KAMINSKY (PA-C) listed with a National Provider Identifier?
Yes — SHELBY HANNAH KAMINSKY (PA-C) has NPI 1336798503 on file in the registry.
Is SHELBY HANNAH KAMINSKY (PA-C) still an active registrant?
SHELBY HANNAH KAMINSKY (PA-C) carries an active NPI according to the public dataset.
How would a patient describe SHELBY HANNAH KAMINSKY (PA-C)'s focus?
For SHELBY HANNAH KAMINSKY (PA-C), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SHELBY HANNAH KAMINSKY (PA-C) associated with South Pasadena?
Public fields place SHELBY HANNAH KAMINSKY (PA-C) around South Pasadena, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for SHELBY HANNAH KAMINSKY (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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