JENNIFER LYNN KUDELKO (D.O.) – Internal Medicine Physician, NPI 1922097955

JENNIFER LYNN KUDELKO (D.O.) is a healthcare provider. based in Largo, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS9229 (FL). The NPI Number for JENNIFER LYNN KUDELKO (D.O.) is 1922097955

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN KUDELKO (D.O.)
NPI
1922097955
Phone
(727) 595-2519
Address
13644 WALSINGHAM RD
Enumeration Date
21 October 2005
Last Update Date
22 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275952519
Graduation Year
2002 (24 years ago)
PAC ID
4688607609
Group Practice PAC ID
4981679677
Professional Enrollment ID
I20050912000327
Address ID
FL337743532LA13644RDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

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Provider Addresses for JENNIFER LYNN KUDELKO (D.O.)

  • 13644, Walsingham Road, Largo, Pinellas County, Florida, 33774, United States

    LARGO, FL 337743532

    Phone: (727) 595-2519

    Fax: (727) 595-3872

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 218 Open Payments records for all available years, with a total value of $4,082.

Total Amount is formed as General ($4,082) + Research ($0) + Ownership ($0) = $4,082.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($679).

Total Amount

$4,082

General + Research + Ownership

Payments

218

Total payment records

General Amount

$4,082

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-09-12

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
I20050912000327IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes715340$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit163163$0
99213Established patient office or other outpatient visit, 20-29 minutes5955$0
99496Transitional care management services for problem of high complexity4844$0
99215Established patient office or other outpatient visit, 40-54 minutes4739$0
View full utilization report →

Insurance plans in this area (ZIP 33774)

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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: 4981679677View full group profile
NameSpecialtyState
Internal MedicineFL
Rheumatology, Internal MedicineFL
Rheumatology, Internal MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER LYNN KUDELKO (D.O.) for billing?
Administrative and clinical systems typically use NPI 1922097955 for JENNIFER LYNN KUDELKO (D.O.).
Is JENNIFER LYNN KUDELKO (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER LYNN KUDELKO (D.O.) as active.
What type of care does JENNIFER LYNN KUDELKO (D.O.) provide?
JENNIFER LYNN KUDELKO (D.O.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER LYNN KUDELKO (D.O.)?
JENNIFER LYNN KUDELKO (D.O.) shows a connection to Largo, Florida in registry-derived data.
Can I export JENNIFER LYNN KUDELKO (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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