KATIE NICOLE BAVA – Medical Physician Assistant, NPI 1922755123

KATIE NICOLE BAVA is a healthcare provider. based in Jensen beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9115736 (FL). The NPI Number for KATIE NICOLE BAVA is 1922755123

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KATIE NICOLE BAVA
NPI
1922755123
Phone
(772) 692-8082
Address
3405 NW FEDERAL HWY
Enumeration Date
7 March 2022
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612637045
Graduation Year
2021 (5 years ago)
PAC ID
5597145789
Group Practice PAC ID
4284797069
Professional Enrollment ID
I20220706001290
Address ID
FL334102850PA3250XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for KATIE NICOLE BAVA

  • 3405 NW FEDERAL HWY

    JENSEN BEACH, FL 349574439

    Phone: (772) 692-8082

    Type: Mailing

  • 5665 NEW NORTHSIDE DR STE 320

    ATLANTA, GA 303285834

    Phone: (770) 874-6907

    Type: Mailing

  • 3000 HOSPITAL BLVD

    ROSWELL, GA 300764915

    Phone: (770) 751-2505

    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: 2026-01-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220706001290IPhysician AssistantFLTBD
I20260112003353IPhysician AssistantGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes563536$0
99203New patient office or other outpatient visit, 30-44 minutes135135$0
81003Automated urinalysis test111106$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza9595$0
71046X-ray of chest, 2 views6060$0
View full utilization report →

Insurance plans in this area (ZIP 34957)

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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: 4284797069View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
General SurgeryFL
Hospitalist, Internal MedicineFL
Internal MedicineFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the registry number for KATIE NICOLE BAVA?
The registry entry for KATIE NICOLE BAVA shows NPI 1922755123.
Does the public listing show KATIE NICOLE BAVA as active?
KATIE NICOLE BAVA's NPI record reflects an active status in NPPES.
What type of care does KATIE NICOLE BAVA provide?
KATIE NICOLE BAVA's profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KATIE NICOLE BAVA tied to Jensen Beach, Florida?
If you are local to Jensen Beach, Florida, KATIE NICOLE BAVA may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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