MS. NANCY J ANDREJACK (P.A.) – Surgical Physician Assistant, NPI 1871567313
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. NANCY J ANDREJACK (P.A.)
2965 SE 3RD CT
OCALA, FL 344710419
Phone: (352) 390-6582
Type: Location
1865, North Keene Road, Clearwater, Pinellas County, Florida, 33755, United States
CLEARWATER, FL 337552314
Phone: (727) 298-0091
Type: Mailing
PO BOX 748249
ATLANTA, GA 303748249
Phone: (352) 336-6000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,292.
Total Amount is formed as General ($1,292) + Research ($0) + Ownership ($0) = $1,292.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($832).
Total Amount
$1,292
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $832 |
| Boston Scientific Corporation | $204 |
| Nevro Corp. | $194 |
| Heraeus Medical, LLC. | $17 |
| SI-BONE, INC. | $15 |
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: 2004-09-23
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 |
|---|---|---|---|---|
| I20040923000946 | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,140 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 200 | 133 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 80 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 92 | 48 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 83 | 78 | $0 |
Insurance plans in this area (ZIP 34471)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 27447 | Repair of knee joint | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Hand Surgery, Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Diagnostic Radiology | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL |
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