CINDY LYNN KESHAVARZ (AGNP) – Adult Health Nurse Practitioner, NPI 1346904729

CINDY LYNN KESHAVARZ (AGNP) is a healthcare provider. based in Deltona, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. APRN11015754 (FL). The NPI Number for CINDY LYNN KESHAVARZ (AGNP) is 1346904729

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CINDY LYNN KESHAVARZ (AGNP)
NPI
1346904729
Phone
(407) 969-5090
Address
2576 GRAMERCY DR
Enumeration Date
22 October 2021
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075507077
Graduation Year
2019 (7 years ago)
PAC ID
3577954403
Group Practice PAC ID
2860809522
Professional Enrollment ID
I20220103000636
Address ID
FL321378254PA21XXXNXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for CINDY LYNN KESHAVARZ (AGNP)

  • 2576 GRAMERCY DR

    DELTONA, FL 327381940

    Phone: (407) 969-5090

    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 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Smith+Nephew, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$22
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: 2022-01-03

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
I20220103000636INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes30348$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes25750$0
97610Therapy procedure using ultrasound13425$0
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less7523$0
11042Removal of skin and tissue, 20.0 sq cm or less3721$0
View full utilization report →

Insurance plans in this area (ZIP 32738)

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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: 2860809522View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerNE

Reviews

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Frequently asked questions

Can I use this page to confirm CINDY LYNN KESHAVARZ (AGNP)'s NPI?
Yes. CINDY LYNN KESHAVARZ (AGNP) is listed with NPI 1346904729 in the public NPI dataset.
Is CINDY LYNN KESHAVARZ (AGNP) listed as active for patients and plans?
The listing shows CINDY LYNN KESHAVARZ (AGNP) as active in the NPI system.
What taxonomy line describes CINDY LYNN KESHAVARZ (AGNP)?
For research purposes, treat CINDY LYNN KESHAVARZ (AGNP) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is CINDY LYNN KESHAVARZ (AGNP) based?
CINDY LYNN KESHAVARZ (AGNP) is tied to Deltona, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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