KAYSE SHAY MCGOVERN (APRN) – Pediatric Registered Nurse, NPI 1558637009
Pediatric Registered Nurse
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for KAYSE SHAY MCGOVERN (APRN)
2505 JUNIOR ST
ORANGE CITY, FL 327638000
Phone: (386) 960-8282
Fax: (386) 960-8280
Type: Mailing
1441 Branding Ave Ste 310
Downers Grove, IL 605155624
Phone: (262) 693-4312
Type: Location
10620 PARK RD STE 202
CHARLOTTE, NC 282100106
Phone: (704) 667-0920
Type: Mailing
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: 2025-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20191029000063 | I | Nurse Practitioner | FL | TBD |
| I20240826001645 | I | Nurse Practitioner | NC | TBD |
| I20250505001392 | I | Nurse Practitioner | WI | TBD |
| I20250924000279 | I | Nurse Practitioner | GA | TBD |
| I20251007001610 | I | Nurse Practitioner | IL | 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 32763)
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