MRS. FELICIA D KENNICOTT (PA-C) – Physician Assistant, NPI 1376710541
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. FELICIA D KENNICOTT (PA-C)
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (305) 500-2000
Type: Mailing
1979 W HILLSBORO BLVD STE 1
DEERFIELD BEACH, FL 334421444
Phone: (954) 428-4800
Fax: (888) 498-4773
Type: Location
818, Lake Redman Court, Logan's Reserve, Seven Valleys, York County, Pennsylvania, 17360, United States
SPRINGFIELD, GA 313290818
Phone: (912) 754-6451
Fax: (912) 754-9901
Type: Mailing
100 GOSHEN RD
RINCON, GA 313265545
Phone: (912) 826-6000
Fax: (912) 826-6016
Type: Location
4020 W Hillsboro Blvd
Deerfield Beach, FL 334429416
Phone: (855) 226-6633
Type: Location
100 Goshen Rd
Rincon, GA 313265545
Phone: (912) 826-6000
Fax: (912) 826-6016
Type: Location
1445 NW Boca Raton Blvd
Boca Raton, FL 334321610
Phone: (561) 338-7722
Fax: (561) 338-7785
Type: Location
4020 W HILLSBORO BLVD
DEERFIELD BEACH, FL 334429416
Phone: (855) 226-6633
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2024-08-16 • Largest payer in this snapshot: ABBVIE INC. ($58).
Total Amount
$77
General + Research + Ownership
Payments
3
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $58 |
| Bayer Healthcare Pharmaceuticals Inc. | $19 |
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: 2022-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080721000618 | I | Physician Assistant | GA | TBD |
| I20220610001990 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 12 | $0 |
Insurance plans in this area (ZIP 33126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL |
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