KRISTEN LEIGH HERISTCHI (MPH, PAC, CAQ-PSYCH) – Medical Physician Assistant, NPI 1821072190
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KRISTEN LEIGH HERISTCHI (MPH, PAC, CAQ-PSYCH)
135 EAST FIRST ST.
LAKELAND, FL 338054557
Phone: (863) 686-2728
Fax: (863) 686-6737
Type: Location
Southwest 37th Avenue, Coral Gables, Miami, Miami-Dade County, Florida, 33133:33134:33135, United States
STE 308
CORAL GABLES, FL 331346134
Phone: (863) 686-2728
Fax: (863) 686-6737
Type: Mailing
6961 INDIAN CREEK PARK DR
LAKELAND, FL 338133833
Phone: (863) 397-4259
Type: Mailing
1801 CRYSTAL LAKE DR
LAKELAND, FL 338015979
Phone: (863) 709-8543
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 295 Open Payments records for all available years, with a total value of $4,947.
Total Amount is formed as General ($4,947) + Research ($0) + Ownership ($0) = $4,947.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($988).
Total Amount
$4,947
General + Research + Ownership
Payments
295
Total payment records
General Amount
$4,947
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $988 |
| Alkermes, Inc. | $541 |
| Teva Pharmaceuticals USA, Inc. | $539 |
| Axsome Therapeutics, Inc. | $382 |
| ITI, Inc. | $303 |
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: 2007-09-21
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 |
|---|---|---|---|---|
| I20070921000246 | 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 33805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | PR | |
| - | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| General Practice | FL | |
| Internal Medicine, General Practice | PR | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| Internal Medicine | FL |
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