KATHRYN MARY MANSUETI – Physician Assistant, NPI 1841965175
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for KATHRYN MARY MANSUETI
1550 RIVERSIDE AVE STE A
JACKSONVILLE, FL 322044162
Phone: (904) 923-6647
Fax: (904) 355-7788
Type: Mailing
1209 Park Ave
Orange Park, FL 320734158
Phone: (904) 923-6647
Fax: (904) 355-7788
Type: Location
24664 RENSSELAER ST
OAK PARK, MI 482371718
Phone: (248) 792-1455
Type: Mailing
31815 SOUTHFIELD RD STE 22
BEVERLY HILLS, MI 480255471
Phone: (248) 723-5802
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $380.
Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: PFIZER INC. ($209).
Total Amount
$380
General + Research + Ownership
Payments
16
Total payment records
General Amount
$380
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $209 |
| Dermavant Sciences, Inc. | $56 |
| Janssen Biotech, Inc. | $40 |
| ABBVIE INC. | $40 |
| Arcutis Biotherapeutics, Inc. | $23 |
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: 2023-07-11
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 |
|---|---|---|---|---|
| I20230711001103 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 357 | 65 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 121 | 100 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 117 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 96 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 82 | 77 | $0 |
Insurance plans in this area (ZIP 32204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Dermatology, Pathology | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
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