MRS. KIMBERLY CASON ROGERS (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1780026104
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. KIMBERLY CASON ROGERS (ARNP)
5336 3RD ST
ST AUGUSTINE, FL 320807243
Phone: (904) 806-2382
Type: Location
PO BOX 748519
ATLANTA, GA 303748519
Phone: (904) 376-3800
Type: Mailing
1150 Red John Dr
Daytona Beach, FL 321241016
Phone: (800) 539-4228
Type: Location
5336 3rd St
St Augustine, FL 320807243
Phone: (904) 806-2382
Type: Location
800 PRUDENTIAL DR
JACKSONVILLE, FL 322078202
Phone: (904) 376-3800
Type: Location
1150 RED JOHN DR
DAYTONA BEACH, FL 321241016
Phone: (800) 539-4228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $214.
Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: ABBVIE INC. ($79).
Total Amount
$214
General + Research + Ownership
Payments
11
Total payment records
General Amount
$214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
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: 2013-09-25
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 |
|---|---|---|---|---|
| I20130925000384 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32080)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | MA | |
| - | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL |
Reviews
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