MRS. SARA KELLY ERDWINS (PA-C) – Physician Assistant, NPI 1902356579

MRS. SARA KELLY ERDWINS (PA-C) is a healthcare provider. based in Fort walton beach, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9110034 (FL). The NPI Number for MRS. SARA KELLY ERDWINS (PA-C) is 1902356579

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SARA KELLY ERDWINS (PA-C)
NPI
1902356579
Phone
(850) 314-7546
Address
912 MAR WALT DR
Enumeration Date
7 October 2016
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5129303909
Graduation Year
2016 (10 years ago)
PAC ID
3779863170
Group Practice PAC ID
8628344280
Professional Enrollment ID
I20181114001606
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for MRS. SARA KELLY ERDWINS (PA-C)

  • 912 MAR WALT DR

    FORT WALTON BEACH, FL 325476706

    Phone: (850) 314-7546

    Fax: (850) 654-3320

    Type: Location

  • 205, Page Road, Pinehurst, Moore County, North Carolina, 28374, United States

    PINEHURST, NC 283748749

    Phone: (910) 295-5511

    Type: Mailing

  • 12469 EMERALD COAST PKWY W STE 101

    MIRAMAR BEACH, FL 325508306

    Phone: (850) 654-3376

    Fax: (850) 654-3320

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,965.

Total Amount is formed as General ($1,965) + Research ($0) + Ownership ($0) = $1,965.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($834).

Total Amount

$1,965

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,965

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-10-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201026001064IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,009177$0
99213Established patient office or other outpatient visit, 20-29 minutes717500$0
88305Pathology examination of tissue using a microscope, intermediate complexity459257$0
17000Destruction of precancer skin growth, 1 growth304249$0
11102Biopsy of related skin growth, first growth292264$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628344280View full group profile

Reviews

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Frequently asked questions

Can I verify MRS. SARA KELLY ERDWINS (PA-C) with an NPI only?
You can start verification with NPI 1902356579 for MRS. SARA KELLY ERDWINS (PA-C), then check state licensing separately.
Is MRS. SARA KELLY ERDWINS (PA-C) listed as active for patients and plans?
The listing shows MRS. SARA KELLY ERDWINS (PA-C) as active in the NPI system.
What is MRS. SARA KELLY ERDWINS (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MRS. SARA KELLY ERDWINS (PA-C) here. Clinical services aligned with this taxonomy classification.
Does MRS. SARA KELLY ERDWINS (PA-C) list a practice location?
Patients near Fort Walton Beach, Florida may find MRS. SARA KELLY ERDWINS (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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