MRS. LYNETTE M WEITMAN NICHOLSON (PA-C) – Medical Physician Assistant, NPI 1538378823
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. LYNETTE M WEITMAN NICHOLSON (PA-C)
160 S FLAMINGO RD
PEMBROKE PINES, FL 330271720
Phone: (954) 620-0011
Fax: (954) 620-0238
Type: Mailing
4700, Sheridan Street, Playland Estates, Hollywood, Broward County, Florida, 33021, United States
SUITE C
HOLLYWOOD, FL 330213420
Phone: (954) 961-3252
Fax: (954) 964-6168
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 327 Open Payments records for all available years, with a total value of $16,528.
Total Amount is formed as General ($16,528) + Research ($0) + Ownership ($0) = $16,528.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($10,212).
Total Amount
$16,528
General + Research + Ownership
Payments
327
Total payment records
General Amount
$16,528
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $10,212 |
| Amgen Inc. | $1,124 |
| ABBVIE INC. | $1,048 |
| Mallinckrodt Hospital Products Inc. | $694 |
| UCB, Inc. | $457 |
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: 2008-11-26
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 |
|---|---|---|---|---|
| I20081126000425 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| Rheumatology, Internal Medicine | FL | |
| Rheumatology, Internal Medicine | FL | |
| R H E U M A T O L O G Y | FL |
Reviews
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