JENNIFER M. SILLS (PA-C) – Physician Assistant, NPI 1811556541
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for JENNIFER M. SILLS (PA-C)
1590 MICHIGAN AVE APT 12
MIAMI BEACH, FL 331393354
Phone: (248) 915-5957
Type: Mailing
206, Northeast 125th Street, North Miami, Miami-Dade County, Florida, 33161, United States
NORTH MIAMI, FL 331615832
Phone: (305) 891-0050
Fax: (305) 891-0497
Type: Location
1065 NE 125th St Ste 206
North Miami, FL 331615832
Phone: (305) 891-0050
Fax: (305) 891-0497
Type: Location
1100 COLLINS AVE APT 208
MIAMI BEACH, FL 331394661
Phone: (248) 915-5957
Type: Mailing
61 LINCOLN ST STE 203
FRAMINGHAM, MA 017028264
Phone: (781) 666-2711
Fax: (781) 666-2712
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: 2023-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190822003509 | I | Physician Assistant | FL | TBD |
| I20231004003282 | I | Physician Assistant | MA | 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 33139)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | RI | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA | |
| Mental Health Counselor | RI | |
| Clinical Social Worker | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| P S Y C H I A T R Y | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | WA |
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