CHRISTINA CLARK (PA-C) – Physician Assistant, NPI 1396134961
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for CHRISTINA CLARK (PA-C)
8931 COLONIAL CENTER DR
SUITE 301
FORT MYERS, FL 339057809
Phone: (239) 334-6626
Fax: (239) 334-0404
Type: Location
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING AND RELATIONS DEPT.
FORT MYERS, FL 339071412
Phone: (239) 931-7342
Fax: (239) 931-7385
Type: Mailing
PO BOX 2147
ATTN: PAYER CONTRACTING AND RELATIONS DEPT.
FORT MYERS, FL 339022147
Phone: (239) 343-2123
Fax: (239) 343-2124
Type: Mailing
8931 Colonial Center Dr Ste 400
Fort Myers, FL 339057809
Phone: (239) 343-2123
Fax: (239) 343-2124
Type: Location
9617 Gulf Research Ln
Fort Myers, FL 339124560
Phone: (239) 418-0999
Fax: (239) 418-0091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,134.
Total Amount is formed as General ($1,134) + Research ($0) + Ownership ($0) = $1,134.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($359).
Total Amount
$1,134
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $359 |
| ImmunoGen, Inc. | $155 |
| AstraZeneca Pharmaceuticals LP | $153 |
| GlaxoSmithKline, LLC. | $132 |
| Merck Sharp & Dohme LLC | $107 |
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: 2015-12-28
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 |
|---|---|---|---|---|
| I20151228000486 | 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 | 21 | 19 | $0 |
Insurance plans in this area (ZIP 33905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| Physician Assistant | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| Plastic And Reconstructive Surgery | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL |
Reviews
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