KEVIN ATWELL (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1528674603
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for KEVIN ATWELL (PMHNP-BC)
155 TOWN VILLAGE BLVD APT 2303
MEXICO BEACH, FL 324567212
Phone: (855) 209-3255
Type: Mailing
4243 SUNBEAM RD STE 1
JACKSONVILLE, FL 322578975
Phone: (855) 209-3255
Type: Location
3241 ORMOND RD
CLEVELAND HEIGHTS, OH 441183415
Phone: (740) 501-3517
Type: Mailing
4199 MILLPOND DR
HIGHLAND HILLS, OH 441225731
Phone: (866) 121-6350
Type: Location
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: 2022-06-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201007003396 | I | Nurse Practitioner | OH | TBD |
| I20220616001557 | I | Nurse Practitioner | 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 32456)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | CO | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | GA | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL |
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