JORDIN LEE ELLINGSON (PA-C) – Physician Assistant, NPI 1922625326
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JORDIN LEE ELLINGSON (PA-C)
4109 E 99TH AVE
TAMPA, FL 336174434
Phone: (706) 499-0203
Type: Mailing
3919 TAMPA RD
OLDSMAR, FL 346773114
Phone: (706) 499-0203
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 287 Open Payments records for all available years, with a total value of $6,531.
Total Amount is formed as General ($6,531) + Research ($0) + Ownership ($0) = $6,531.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($1,890).
Total Amount
$6,531
General + Research + Ownership
Payments
287
Total payment records
General Amount
$6,531
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,890 |
| Teva Pharmaceuticals USA, Inc. | $1,414 |
| Takeda Pharmaceuticals U.S.A., Inc. | $526 |
| Neurocrine BioSciences, Inc. | $344 |
| Janssen Pharmaceuticals, Inc | $291 |
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: 2020-08-14
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 |
|---|---|---|---|---|
| I20200814000053 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 381 | 115 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 329 | 104 | $0 |
Insurance plans in this area (ZIP 33617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL |
Reviews
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