MISS NHI MA DO (PA-C) – Medical Physician Assistant, NPI 1770094088
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MISS NHI MA DO (PA-C)
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (305) 500-2000
Type: Mailing
1640 TECHNOLOGY BLVD UNIT 100
DAYTONA BEACH, FL 321177315
Phone: (386) 241-1657
Fax: (386) 241-1662
Type: Location
4280, 67th Avenue North, Pinellas Park, Pinellas County, Florida, 33781, United States
PINELLAS PARK, FL 337815844
Phone: (727) 637-4075
Type: Mailing
Southwest 60th Avenue, Ocala, Marion County, Florida, 34474, United States
OCALA, FL 344766428
Phone: (352) 854-5530
Type: Location
6101 BLUE LAGOON DR STE 400
MIAMI, FL 331262051
Phone: (305) 500-2000
Type: Mailing
420 S NOVA RD STE 4&5
ORMOND BEACH, FL 321740410
Phone: (386) 506-0111
Type: Location
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: 2017-11-06
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 |
|---|---|---|---|---|
| I20171106002211 | 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 | 46 | 32 | $0 |
Insurance plans in this area (ZIP 33126)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL |
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