JACQUELINE AZELVANDRE (D.O.) – Family Medicine Physician, NPI 1639160831
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for JACQUELINE AZELVANDRE (D.O.)
301, Milwee Street, Longwood, Seminole County, Florida, 32750, United States
LONGWOOD, FL 327504127
Phone: (407) 339-1060
Fax: (407) 339-1081
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)
CMS reports 82 Open Payments records for all available years, with a total value of $1,635.
Total Amount is formed as General ($1,635) + Research ($0) + Ownership ($0) = $1,635.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($506).
Total Amount
$1,635
General + Research + Ownership
Payments
82
Total payment records
General Amount
$1,635
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $506 |
| Lilly USA, LLC | $280 |
| IDORSIA PHARMACEUTICALS US INC | $174 |
| PFIZER INC. | $145 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $137 |
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: 2007-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071031000448 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 392 | 247 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 271 | 149 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 265 | 265 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 64 | 55 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 32750)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 81002 | Urinalysis, manual test | 11 | 11 |
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