MRS. VIDA V UMSTEAD (NP) – Nurse Practitioner, NPI 1366471914
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for MRS. VIDA V UMSTEAD (NP)
4225 NW American Ln
Lake City, FL 320558841
Phone: (386) 758-6141
Fax: (386) 758-6140
Type: Location
4225, Northwest American Lane, Lake City, Columbia County, Florida, 32055, United States
LAKE CITY, FL 320558841
Phone: (386) 758-6141
Fax: (386) 758-6140
Type: Location
PO BOX 102321
ATLANTA, GA 303682321
Phone: (770) 801-2500
Fax: (770) 803-2121
Type: Mailing
15 REINHARDT COLLEGE PKWY STE 100
CANTON, GA 301145259
Phone: (770) 704-6988
Fax: (770) 720-8775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $629.
Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($272).
Total Amount
$629
General + Research + Ownership
Payments
28
Total payment records
General Amount
$629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $272 |
| ViiV Healthcare Company | $74 |
| Lilly USA, LLC | $63 |
| Dynavax Technologies Corporation | $39 |
| AstraZeneca Pharmaceuticals LP | $35 |
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: 2017-10-12
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 |
|---|---|---|---|---|
| I20171012002662 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 47 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | 26 | $0 |
Insurance plans in this area (ZIP 32055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | OH | |
| - | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA |
Reviews
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