MR. JUSTIN E. PICKENS (APRN) – Nurse Practitioner, NPI 1790371995
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. JUSTIN E. PICKENS (APRN)
4235 KINGS HIGHWAY
SUITE 103
PORT CHARLOTTE, FL 339808421
Phone: (941) 613-1777
Fax: (941) 613-1779
Type: Location
6500 W NEWBERRY RD
GAINESVILLE, FL 326054309
Phone: (352) 333-4000
Type: Mailing
25097 SW 22ND AVE
NEWBERRY, FL 326694994
Phone: (352) 877-5104
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $398.
Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($146).
Total Amount
$398
General + Research + Ownership
Payments
20
Total payment records
General Amount
$398
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
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: 2021-04-05
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 |
|---|---|---|---|---|
| I20210405000571 | 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.
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 | 12 | 12 | $0 |
Insurance plans in this area (ZIP 33980)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Pulmonary Disease, Critical Care (Intensivists) | FL | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | FL |
Reviews
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