ANDREA SUPLICK (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1912190497
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for ANDREA SUPLICK (ARNP)
PO BOX 997
PALMETTO, FL 342200997
Phone: (941) 776-4000
Fax: (941) 776-4013
Type: Mailing
12734 KENWOOD LANE
SUITE 84
FORT MYERS, FL 339075767
Phone: (239) 936-5250
Fax: (239) 936-9970
Type: Location
274 Madison Ave Rm 1501
New York, NY 100160701
Phone: (212) 203-1773
Fax: (646) 665-4427
Type: Location
274 MADISON AVE RM 1501
NEW YORK, NY 100160701
Phone: (212) 203-1773
Fax: (646) 665-4427
Type: Mailing
2125 BISCAYNE BLVD
MIAMI, FL 331375031
Phone: (212) 203-1773
Fax: (646) 665-4427
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: 2022-02-02
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 |
|---|---|---|---|---|
| I20071101000297 | I | Nurse Practitioner | FL | TBD |
| I20220202002315 | I | Nurse Practitioner | NY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 16 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 80 | 16 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 34220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | PA |
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