CHELSEA NOELLE MIRA TIMONERA (PA-C) – Medical Physician Assistant, NPI 1477315976

CHELSEA NOELLE MIRA TIMONERA (PA-C) is a healthcare provider. based in Riverview, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9118451 (FL). The NPI Number for CHELSEA NOELLE MIRA TIMONERA (PA-C) is 1477315976

Main info

Female
Sole Proprietor
2 Years Of Experience
Name
CHELSEA NOELLE MIRA TIMONERA (PA-C)
NPI
1477315976
Phone
(813) 533-5522
Address
3140 S FALKENBURG RD STE 205
Enumeration Date
29 January 2024
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8135335522
Graduation Year
2024 (2 years ago)
PAC ID
3870028723
Group Practice PAC ID
6406135839
Professional Enrollment ID
I20241202001114
Address ID
FL335782594RI3140XRDXX417
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for CHELSEA NOELLE MIRA TIMONERA (PA-C)

  • 3140 S FALKENBURG RD STE 205

    RIVERVIEW, FL 335782594

    Phone: (813) 533-5522

    Fax: (813) 533-5511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $839.

Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($386).

Total Amount

$839

General + Research + Ownership

Payments

21

Total payment records

General Amount

$839

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2024-12-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241202001114IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33578)

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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: 6406135839View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyFL
-GA
Interventional Pain ManagementFL

Reviews

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Frequently asked questions

Can I verify CHELSEA NOELLE MIRA TIMONERA (PA-C) with an NPI only?
You can start verification with NPI 1477315976 for CHELSEA NOELLE MIRA TIMONERA (PA-C), then check state licensing separately.
Is CHELSEA NOELLE MIRA TIMONERA (PA-C) listed as active for patients and plans?
The listing shows CHELSEA NOELLE MIRA TIMONERA (PA-C) as active in the NPI system.
What taxonomy line describes CHELSEA NOELLE MIRA TIMONERA (PA-C)?
For research purposes, treat CHELSEA NOELLE MIRA TIMONERA (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is CHELSEA NOELLE MIRA TIMONERA (PA-C) based?
CHELSEA NOELLE MIRA TIMONERA (PA-C) is tied to Riverview, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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