MISS KIMBERLY KAY VANDER HEUVEL (ARNP-BC, MS) – Adult Health Nurse Practitioner, NPI 1780607309
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for MISS KIMBERLY KAY VANDER HEUVEL (ARNP-BC, MS)
49th Street North, Disston Heights, Saint Petersburg, Pinellas County, Florida, 33710, United States
SUITE 200
ST PETERSBURG, FL 337092148
Phone: (727) 490-2100
Fax: (727) 544-7389
Type: Location
6006 49th St N
Suite 200
St Petersburg, FL 337092148
Phone: (727) 490-2100
Fax: (727) 544-7389
Type: Location
1839 CENTRAL AVE
ST PETERSBURG, FL 337139089
Phone: (727) 322-1054
Type: Location
13328, 2nd Street East, Mitchell Beach, Madeira Beach, Pinellas County, Florida, 33708, United States
MADEIRA BEACH, FL 337082410
Phone: (727) 397-1544
Fax: (727) 397-1544
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,460.
Total Amount is formed as General ($1,460) + Research ($0) + Ownership ($0) = $1,460.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($583).
Total Amount
$1,460
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,460
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
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: 2009-11-13
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 |
|---|---|---|---|---|
| I20091113000403 | 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 33709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | GA | |
| Vascular Surgery, Cardiac Surgery, Thoracic Surgery | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Thoracic Surgery, General Surgery | MD | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
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