AMY GRACE VANOSDALE (PAC) – Medical Physician Assistant, NPI 1619431384
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for AMY GRACE VANOSDALE (PAC)
Goodlette Road, Mariner's Cove, Naples, Collier County, Florida, 34102, United States
NAPLES, FL 341025445
Phone: (239) 430-3260
Mailing address matches the actual address.
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: 2025-11-07
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 |
|---|---|---|---|---|
| I20190222000232 | I | Physician Assistant | FL | TBD |
| I20251107002451 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 273 | 231 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 29 | $0 |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 14 | 13 | $0 |
Insurance plans in this area (ZIP 34102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| - | OK | |
| - | OK | |
| Internal Medicine | OK | |
| - | FL | |
| Physician Assistant | OK |
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