JENIFAR PATEL – Physician Assistant, NPI 1780303420
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JENIFAR PATEL
6100 Minton Rd NW Ste 102
Palm Bay, FL 329071900
Phone: (321) 724-1171
Type: Location
10 Latta Ct
Lawrenceville, NJ 086482665
Phone: (609) 937-5671
Type: Location
10 LATTA CT
LAWRENCEVILLE, NJ 086482665
Phone: (609) 937-5671
Type: Location
1919 E HIGHWAY 50 STE 204
CLERMONT, FL 347111975
Phone: (352) 717-3770
Fax: (352) 717-3771
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,068.
Total Amount is formed as General ($1,068) + Research ($0) + Ownership ($0) = $1,068.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($291).
Total Amount
$1,068
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,068
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $291 |
| AstraZeneca Pharmaceuticals LP | $254 |
| Bayer Healthcare Pharmaceuticals Inc. | $111 |
| GlaxoSmithKline, LLC. | $94 |
| Amgen Inc. | $65 |
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: 2023-08-31
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 |
|---|---|---|---|---|
| I20230831002581 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| N E U R O L O G Y | FL | |
| General Surgery | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | FL |
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