LARA ASHLEY EAST LANEVE (PA-C) – Physician Assistant, NPI 1992802912

LARA ASHLEY EAST LANEVE (PA-C) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9103914 (FL). The NPI Number for LARA ASHLEY EAST LANEVE (PA-C) is 1992802912

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LARA ASHLEY EAST LANEVE (PA-C)
NPI
1992802912
Phone
(904) 731-8300
Address
4479 BAYMEADOWS RD
Enumeration Date
20 September 2006
Last Update Date
6 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9047318300
Graduation Year
2006 (20 years ago)
PAC ID
2668576695
Group Practice PAC ID
4789660994
Professional Enrollment ID
I20070402000345
Address ID
FL322174716JA4479XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

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Provider Addresses for LARA ASHLEY EAST LANEVE (PA-C)

  • 4479, Baymeadows Road, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 322174716

    Phone: (904) 731-8300

    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 139 Open Payments records for all available years, with a total value of $3,310.

Total Amount is formed as General ($3,310) + Research ($0) + Ownership ($0) = $3,310.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($728).

Total Amount

$3,310

General + Research + Ownership

Payments

139

Total payment records

General Amount

$3,310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2007-04-02

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
I20070402000345IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes107104$0
17003Destruction of precancer skin growth, 2-14 growths5917$0
17000Destruction of precancer skin growth, 1 growth3232$0
17110Destruction of skin growth, 1-14 growths2424$0
11102Biopsy of related skin growth, first growth2221$0
View full utilization report →

Insurance plans in this area (ZIP 32217)

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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: 4789660994View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Physician AssistantFL

Reviews

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Frequently asked questions

Does LARA ASHLEY EAST LANEVE (PA-C) have a public NPI I can cite?
Public records show LARA ASHLEY EAST LANEVE (PA-C) under NPI 1992802912.
Is LARA ASHLEY EAST LANEVE (PA-C)'s NPI status active today?
Active status means LARA ASHLEY EAST LANEVE (PA-C)'s NPI record is not deactivated in the public file.
What services align with LARA ASHLEY EAST LANEVE (PA-C)'s listing?
LARA ASHLEY EAST LANEVE (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to LARA ASHLEY EAST LANEVE (PA-C)?
LARA ASHLEY EAST LANEVE (PA-C) shows a connection to Jacksonville, Florida in registry-derived data.
Why is information missing for LARA ASHLEY EAST LANEVE (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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