MRS. VA IM (ARNP-C) – Nurse Practitioner, NPI 1396010229
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. VA IM (ARNP-C)
620 10th St N
St Petersburg, FL 337051407
Phone: (727) 824-3120
Fax: (727) 824-8313
Type: Location
5811 27TH TER N
ST PETERSBURG, FL 337103305
Phone: (727) 348-8393
Type: Mailing
3914 E STATE ROAD 64
BRADENTON, FL 342089059
Phone: (941) 216-3800
Fax: (941) 216-3703
Type: Location
3491 34TH ST S
SAINT PETERSBURG,, FL 33711
Phone: (727) 436-4508
Type: Location
620 10TH ST N
ST PETERSBURG, FL 337051407
Phone: (727) 824-3120
Fax: (727) 824-8313
Type: Location
620 10TH ST N STE 1E
ST PETERSBURG, FL 337051407
Phone: (727) 824-3120
Fax: (727) 824-8313
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $351.
Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($136).
Total Amount
$351
General + Research + Ownership
Payments
17
Total payment records
General Amount
$351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $136 |
| Lilly USA, LLC | $69 |
| AstraZeneca Pharmaceuticals LP | $50 |
| Novo Nordisk Inc | $42 |
| GlaxoSmithKline, LLC. | $21 |
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: 2014-04-22
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 |
|---|---|---|---|---|
| I20140422001406 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | PR | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | PA | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| Internal Medicine, Hospitalist | FL | |
| Nurse Practitioner | KY |
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