JESSICA ANZEVINO HOLLAND (PA-C) – Physician Assistant, NPI 1619255643

JESSICA ANZEVINO HOLLAND (PA-C) is a healthcare provider. based in Winter park, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9106047 (FL). The NPI Number for JESSICA ANZEVINO HOLLAND (PA-C) is 1619255643

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ANZEVINO HOLLAND (PA-C)
NPI
1619255643
Phone
(813) 727-3264
Address
1570 GROVE TER
Enumeration Date
25 July 2011
Last Update Date
7 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073528553
Graduation Year
2011 (15 years ago)
PAC ID
7517120959
Group Practice PAC ID
6709853088
Professional Enrollment ID
I20120522000766
Address ID
FL328195539OR7335XRDXX537
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JESSICA ANZEVINO HOLLAND (PA-C)

  • 1570 GROVE TER

    WINTER PARK, FL 327894033

    Phone: (813) 727-3264

    Type: Mailing

  • 7335 W SAND LAKE RD STE 200

    ORLANDO, FL 328195539

    Phone: (407) 352-8553

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $1,813.

Total Amount is formed as General ($1,813) + Research ($0) + Ownership ($0) = $1,813.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($681).

Total Amount

$1,813

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,813

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2012-05-22

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
I20120522000766IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths24147$0
99213Established patient office or other outpatient visit, 20-29 minutes225163$0
11102Biopsy of related skin growth, first growth117102$0
17000Destruction of precancer skin growth, 1 growth8968$0
11103Biopsy of related skin growth, each additional growth6042$0
View full utilization report →

Insurance plans in this area (ZIP 32789)

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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: 6709853088View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Physician AssistantFL
-FL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

What identifier follows JESSICA ANZEVINO HOLLAND (PA-C) across health systems?
The NPI 1619255643 uniquely identifies JESSICA ANZEVINO HOLLAND (PA-C) in U.S. healthcare data.
Is JESSICA ANZEVINO HOLLAND (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists JESSICA ANZEVINO HOLLAND (PA-C) as active.
How should patients interpret JESSICA ANZEVINO HOLLAND (PA-C)'s specialty?
The extract shows Physician Assistant for JESSICA ANZEVINO HOLLAND (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to JESSICA ANZEVINO HOLLAND (PA-C)?
The directory associates JESSICA ANZEVINO HOLLAND (PA-C) with Winter Park, Florida. Check all listed addresses for suites or satellite offices.
Who maintains JESSICA ANZEVINO HOLLAND (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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