MISS WAGMA QAZIZADA (PA-C) – Physician Assistant, NPI 1730499062
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MISS WAGMA QAZIZADA (PA-C)
PO BOX 551308
JACKSONVILLE, FL 322551308
Phone: (904) 493-3333
Fax: (904) 493-2222
Type: Mailing
1681 EAGLE HARBOR PKWY
SUITE B
FLEMING ISLAND, FL 320034819
Phone: (904) 644-0092
Fax: (904) 644-0099
Type: Location
PO BOX 43667
JACKSONVILLE, FL 322033667
Phone: (904) 720-0599
Fax: (904) 376-4036
Type: Mailing
14534 OLD SAINT AUGUSTINE RD STE 3420
JACKSONVILLE, FL 322582645
Phone: (904) 493-8001
Fax: (904) 388-0852
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $1,770.
Total Amount is formed as General ($1,770) + Research ($0) + Ownership ($0) = $1,770.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($341).
Total Amount
$1,770
General + Research + Ownership
Payments
95
Total payment records
General Amount
$1,770
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-06-02
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 |
|---|---|---|---|---|
| I20110602000733 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 45 | $0 |
Insurance plans in this area (ZIP 32255)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology) | SC | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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