JILLIAN CLAVENNA (PA) – Physician Assistant, NPI 1538398441
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JILLIAN CLAVENNA (PA)
3190 N McMullen Booth Rd Ste 203
Clearwater, FL 337612013
Phone: (727) 258-9143
Fax: (727) 823-7043
Type: Location
1801 N Belcher Rd Ste B
Clearwater, FL 337651452
Phone: (727) 935-0503
Fax: (727) 935-0504
Type: Location
915 Chestnut St Ste 200
Clearwater, FL 337565643
Phone: (727) 442-1917
Fax: (727) 219-2446
Type: Location
8787 BRYAN DAIRY RD STE 360
LARGO, FL 337771260
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Location
PO BOX 23329
NEW YORK, NY 100873329
Phone:
Type: Mailing
1260 W BAY DR STE C
LARGO, FL 337702285
Phone: (727) 935-0500
Fax: (727) 935-0501
Type: Location
1260 W Bay Dr Ste Candf
Largo, FL 337702284
Phone: (727) 935-0500
Fax: (727) 935-0501
Type: Location
1306 CONCOURSE DR STE 201
LINTHICUM HEIGHTS, MD 210901033
Phone:
Type: Mailing
646 VIRGINIA ST STE 201
DUNEDIN, FL 346986612
Phone: (727) 270-7291
Fax: (727) 823-7043
Type: Location
Van Dyke Road, Lutz, Hillsborough County, Florida, 33548, United States
LUTZ, FL 335584880
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $1,059.
Total Amount is formed as General ($1,059) + Research ($0) + Ownership ($0) = $1,059.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($177).
Total Amount
$1,059
General + Research + Ownership
Payments
40
Total payment records
General Amount
$1,059
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-01-13
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 |
|---|---|---|---|---|
| I20170113002035 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 317 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 99 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 107 | 83 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 51 | 45 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 37 | $0 |
Insurance plans in this area (ZIP 33761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | MD | |
| Physician Assistant | IA | |
| D E R M A T O L O G Y | FL |
Reviews
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