CAITLIN ANNE O'KENNEDY (PA-C) – Physician Assistant, NPI 1508338104

CAITLIN ANNE O'KENNEDY (PA-C) is a healthcare provider. based in Palm harbor, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9111878 (FL). The NPI Number for CAITLIN ANNE O'KENNEDY (PA-C) is 1508338104

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN ANNE O'KENNEDY (PA-C)
NPI
1508338104
Phone
(407) 453-3886
Address
31177 US HIGHWAY 19 N APT 601
Enumeration Date
20 December 2018
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7276851946
Graduation Year
2015 (11 years ago)
PAC ID
3173861085
Group Practice PAC ID
2860721941
Professional Enrollment ID
I20190218002584
Address ID
FL342081022BR300XXEXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for CAITLIN ANNE O'KENNEDY (PA-C)

  • 31177 US HIGHWAY 19 N APT 601

    PALM HARBOR, FL 346844471

    Phone: (407) 453-3886

    Type: Mailing

  • 31177 US Highway 19 N Apt 601

    Palm Harbor, FL 346844471

    Phone: (407) 453-3886

    Type: Location

  • 6600 Madison St

    New Port Richey, FL 346521971

    Phone: (727) 842-8468

    Type: Location

  • 501 6th Ave S

    St Petersburg, FL 337014634

    Phone: (727) 767-8480

    Fax: (727) 767-8420

    Type: Location

  • Morton Plant North Bay Hospital, 6600, Madison Street, New Port Richey, Pasco County, Florida, 34652, United States

    NEW PORT RICHEY, FL 346521971

    Phone: (727) 842-8468

    Type: Location

  • 501 6TH AVE S

    ST PETERSBURG, FL 337014634

    Phone: (727) 767-8480

    Fax: (727) 767-8420

    Type: Location

  • 6338 6TH AVE S

    ST PETERSBURG, FL 337072337

    Phone: (727) 251-4614

    Type: Mailing

  • 5800 49TH ST N STE S-201

    ST PETERSBURG, FL 337092146

    Phone: (727) 605-1770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Abbott Laboratories ($76).

Total Amount

$129

General + Research + Ownership

Payments

4

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

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: 2019-02-18

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
I20190218002584IPhysician 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 34684)

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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: 2860721941View full group profile
NameSpecialtyState
Physician AssistantMA
N E U R O S U R G E R YNJ
Physician AssistantNY
Nurse PractitionerFL
N E U R O S U R G E R YFL

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Frequently asked questions

What number should I use to identify CAITLIN ANNE O'KENNEDY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1508338104 for CAITLIN ANNE O'KENNEDY (PA-C).
Is CAITLIN ANNE O'KENNEDY (PA-C)'s NPI status active today?
Active status means CAITLIN ANNE O'KENNEDY (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits CAITLIN ANNE O'KENNEDY (PA-C)?
NPPES ties CAITLIN ANNE O'KENNEDY (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is CAITLIN ANNE O'KENNEDY (PA-C) tied to Palm Harbor, Florida?
If you are local to Palm Harbor, Florida, CAITLIN ANNE O'KENNEDY (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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