REBECCA LYNNE IRVING (PA) – Physician Assistant, NPI 1417911066

REBECCA LYNNE IRVING (PA) is a healthcare provider. based in Bradenton, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601002996 (MI). The NPI Number for REBECCA LYNNE IRVING (PA) is 1417911066

Main info

Female
28 Years Of Experience
Name
REBECCA LYNNE IRVING (PA)
NPI
1417911066
Phone
(941) 792-1404
Address
6202 17th Ave W
Enumeration Date
12 April 2006
Last Update Date
26 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413650655
Graduation Year
1998 (28 years ago)
PAC ID
1658362785
Group Practice PAC ID
0840185310
Professional Enrollment ID
I20181206001880
Address ID
FL342326014SA6050XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for REBECCA LYNNE IRVING (PA)

  • 6202 17th Ave W

    Bradenton, FL 342097838

    Phone: (941) 792-1404

    Fax: (941) 761-0712

    Type: Location

  • 8000 SR 64 E

    BRADENTON, FL 34212

    Phone: (941) 792-1404

    Fax: (941) 761-0712

    Type: Location

  • 61, Commerce Avenue Southwest, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034124

    Phone: (616) 940-0660

    Fax: (616) 940-1965

    Type: Mailing

  • 6015, Pointe West Boulevard, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 34209

    Phone: (941) 792-1404

    Fax: (941) 761-0712

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,144.

Total Amount is formed as General ($1,144) + Research ($0) + Ownership ($0) = $1,144.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($370).

Total Amount

$1,144

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-12-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040519000277IPhysician AssistantMITBD
I20181206001880IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,503808$0
99213Established patient office or other outpatient visit, 20-29 minutes708550$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
80305Testing for presence of drug, read by direct observation1818$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840185310View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerFL
Orthopedic SurgeryFL
Physical Medicine And RehabilitationFL
Physician AssistantFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
-FL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

Does REBECCA LYNNE IRVING (PA) have a public NPI I can cite?
Public records show REBECCA LYNNE IRVING (PA) under NPI 1417911066.
Quick check: is REBECCA LYNNE IRVING (PA) active?
Public NPPES data shows REBECCA LYNNE IRVING (PA) with an active NPI status right now.
What type of care does REBECCA LYNNE IRVING (PA) provide?
REBECCA LYNNE IRVING (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to REBECCA LYNNE IRVING (PA)?
REBECCA LYNNE IRVING (PA) shows a connection to Bradenton, Florida in registry-derived data.
Why is information missing for REBECCA LYNNE IRVING (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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