KAYLA ROBERTA CICCOTTO (APRN) – Family Nurse Practitioner, NPI 1609602648

KAYLA ROBERTA CICCOTTO (APRN) is a healthcare provider. based in Beverly hills, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11035127 (FL). The NPI Number for KAYLA ROBERTA CICCOTTO (APRN) is 1609602648

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA ROBERTA CICCOTTO (APRN)
NPI
1609602648
Phone
(352) 476-2041
Address
5291 W RANGER ST
Enumeration Date
9 September 2024
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525632450
Graduation Year
2024 (2 years ago)
PAC ID
7719417849
Group Practice PAC ID
2466355938
Professional Enrollment ID
I20250206000085
Address ID
FL344297622CR6410XHWYX601
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KAYLA ROBERTA CICCOTTO (APRN)

  • 5291 W RANGER ST

    BEVERLY HILLS, FL 344654684

    Phone: (352) 476-2041

    Type: Mailing

  • 6410 W GULF TO LAKE HWY

    CRYSTAL RIVER, FL 344297622

    Phone: (352) 563-2450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Lilly USA, LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$24
View all Open Payments →|Open Payments Risk Radar →

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: 2025-02-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250206000085INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 34465)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466355938View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YPA
Physician AssistantFL
Physician AssistantWA
G A S T R O E N T E R O L O G YFL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

What federal number belongs to KAYLA ROBERTA CICCOTTO (APRN)?
The federal identifier for KAYLA ROBERTA CICCOTTO (APRN) is NPI 1609602648.
Is KAYLA ROBERTA CICCOTTO (APRN)'s NPI currently valid?
The extract we use shows KAYLA ROBERTA CICCOTTO (APRN) as active.
What does KAYLA ROBERTA CICCOTTO (APRN) treat or focus on?
Patients typically see KAYLA ROBERTA CICCOTTO (APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KAYLA ROBERTA CICCOTTO (APRN)?
The snapshot lists Beverly Hills, Florida for KAYLA ROBERTA CICCOTTO (APRN); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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