MRS. BROOKE MICHELLE PERUSSINA (PA C) – Medical Physician Assistant, NPI 1700921020
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. BROOKE MICHELLE PERUSSINA (PA C)
973 OAK ARBOR CIRCLE
ST AUGUSTINE, FL 32084
Phone: (904) 825-0379
Type: Mailing
103 ANASTASIA BLVD
ST AUGUSTINE, FL 32080
Phone: (904) 825-4747
Fax: (904) 825-2885
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $808.
Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($168).
Total Amount
$808
General + Research + Ownership
Payments
43
Total payment records
General Amount
$808
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $168 |
| PFIZER INC. | $86 |
| Lilly USA, LLC | $71 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $58 |
| Daiichi Sankyo Inc. | $56 |
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: 2005-08-30
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 |
|---|---|---|---|---|
| I20050830000704 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 155 | 137 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 69 | $0 |
| 90756 | Influenza vaccine, quadrivalent derived from cell cultures | 15 | 15 | $0 |
| G0008 | Administration of influenza virus vaccine | 15 | 15 | $0 |
| 86328 | Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| P O D I A T R Y | FL | |
| Family Practice | VT | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL |
Reviews
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