SUMMER ELIZABETH KERVIN (FNP-C) – Family Nurse Practitioner, NPI 1467189258

SUMMER ELIZABETH KERVIN (FNP-C) is a healthcare provider. based in Perry, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN314188 (GA). The NPI Number for SUMMER ELIZABETH KERVIN (FNP-C) is 1467189258

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SUMMER ELIZABETH KERVIN (FNP-C)
NPI
1467189258
Phone
(334) 945-0105
Address
328 WAXMYRTLE WAY
Enumeration Date
2 August 2022
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4784742947
Graduation Year
2022 (4 years ago)
PAC ID
8921476326
Group Practice PAC ID
0648281519
Professional Enrollment ID
I20221116000302
Address ID
GA310888965WA100XXCTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for SUMMER ELIZABETH KERVIN (FNP-C)

  • 328 WAXMYRTLE WAY

    PERRY, GA 310699478

    Phone: (334) 945-0105

    Type: Mailing

  • 100 JIM MASON CT STE A

    WARNER ROBINS, GA 310888965

    Phone: (478) 474-2947

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $2,001.

Total Amount is formed as General ($2,001) + Research ($0) + Ownership ($0) = $2,001.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Boston Scientific Corporation ($2,001).

Total Amount

$2,001

General + Research + Ownership

Payments

28

Total payment records

General Amount

$2,001

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2022-11-16

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
I20221116000302INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31069)

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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: 0648281519View full group profile
NameSpecialtyState
Interventional Pain Management, AnesthesiologyGA
Pain Management, AnesthesiologyGA
Interventional Pain Management, AnesthesiologyGA
Pain ManagementGA
Interventional Pain Management, AnesthesiologyGA
Interventional Pain ManagementGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Where can patients find SUMMER ELIZABETH KERVIN (FNP-C)'s NPI?
You can confirm SUMMER ELIZABETH KERVIN (FNP-C) with NPI 1467189258; it appears in the national provider directory.
Is SUMMER ELIZABETH KERVIN (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SUMMER ELIZABETH KERVIN (FNP-C)?
The page reflects Family Nurse Practitioner for SUMMER ELIZABETH KERVIN (FNP-C). Clinical services aligned with this taxonomy classification.
Does SUMMER ELIZABETH KERVIN (FNP-C) practice in Georgia?
You will see Perry, Georgia on file for SUMMER ELIZABETH KERVIN (FNP-C) alongside any extra practice locations.
How can I contact SUMMER ELIZABETH KERVIN (FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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