MRS. KIMBERLY ANN JEROME (PA-C) – Medical Physician Assistant, NPI 1518235159
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. KIMBERLY ANN JEROME (PA-C)
6106 HUCKLEBERRY AVE
ORLANDO, FL 328194176
Phone: (407) 668-5431
Type: Mailing
1485 LEGENDS BLVD
CHAMPIONS GATE, FL 338968393
Phone: (407) 390-6480
Fax: (407) 390-6483
Type: Location
4551 Pleasant Hill Rd
Poinciana, FL 347593422
Phone: (407) 847-2212
Type: Location
2551 Boggy Creek Rd
Kissimmee, FL 347443806
Phone: (407) 348-0990
Fax: (407) 944-9041
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Abbott Laboratories ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $20 |
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: 2012-03-28
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 |
|---|---|---|---|---|
| I20120328000569 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 293 | 137 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 28 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 16 | 16 | $0 |
| 83036 | Hemoglobin a1c level | 14 | 12 | $0 |
Insurance plans in this area (ZIP 32819)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice, Emergency Medicine | FL | |
| Family Practice | FL | |
| Family Practice | LA | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | TX | |
| Internal Medicine | FL |
Reviews
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