JESSICA L FILLIPOVICH (PA-C) – Physician Assistant, NPI 1407553944
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for JESSICA L FILLIPOVICH (PA-C)
305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 321175137
Phone: (386) 231-3600
Fax: (386) 231-3602
Type: Location
PO BOX 935921
ATLANTA, GA 311935921
Phone:
Type: Mailing
501 LIVE OAK ST STE C
NEW SMYRNA BEACH, FL 321687300
Phone: (386) 231-3600
Fax: (386) 231-3602
Type: Location
1 HOSPITAL DR
COLUMBIA, MO 652121000
Phone: (573) 884-3300
Fax: (573) 884-0943
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: 2024-11-19
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20241119004588 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| U R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| Thoracic Surgery | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| General Surgery | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL |
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