REBECCA KRASKOW (PA-C) – Physician Assistant, NPI 1538625777
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for REBECCA KRASKOW (PA-C)
19214 SEA MIST LN
LUTZ, FL 335589713
Phone: (908) 528-4428
Type: Mailing
2606 Peddlers Village Rd Ste 215
Goshen, IN 465261004
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
53760 Generations Dr
South Bend, IN 466351539
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
10001 W INNOVATION DR STE 200
MILWAUKEE, WI 532264851
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Mailing
211 N EDDY ST
SOUTH BEND, IN 466173096
Phone: (574) 239-1433
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $837.
Total Amount is formed as General ($837) + Research ($0) + Ownership ($0) = $837.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Novo Nordisk Inc ($224).
Total Amount
$837
General + Research + Ownership
Payments
35
Total payment records
General Amount
$837
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
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: 2025-03-25
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 |
|---|---|---|---|---|
| I20190618003323 | I | Physician Assistant | NY | TBD |
| I20250325002713 | I | Physician Assistant | IN | 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 33558)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| Family Practice | KY | |
| Family Practice | IN | |
| O P H T H A L M O L O G Y | IN | |
| Physician Assistant | IN | |
| Family Practice | IN |
Reviews
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