CHERYL LYNN LIEDTKE (P.A.) – Physician Assistant, NPI 1376552281
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for CHERYL LYNN LIEDTKE (P.A.)
9908 S.R. 64 East
Lakewood Ranch Urgent Care
Bradenton, FL 34212
Phone: (941) 747-8600
Fax: (941) 749-5915
Type: Location
3455 Ringsby Court
Unit 102
Denver, CO 802168021
Phone: (303) 500-1518
Fax: (720) 598-0440
Type: Location
2450 S PEORIA ST STE 245
AURORA, CO 80014
Phone: (303) 752-7732
Type: Location
Rocky Mountain Avenue, Loveland, Larimer County, Colorado, 80538-8837, United States
LOVELAND, CO 805389071
Phone: (970) 624-4451
Fax: (970) 490-4199
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-12-22
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 |
|---|---|---|---|---|
| I20151222001914 | I | Physician Assistant | CO | 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 | 123 | 123 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 80 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 34212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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