CAITLYN G PRUCINSKY (PA) – Surgical Physician Assistant, NPI 1194720797
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for CAITLYN G PRUCINSKY (PA)
North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
400, Southeast Monterey Road, Stuart, Martin County, Florida, 34994, United States
STUART, FL 349944512
Phone: (772) 288-2400
Fax: (772) 419-0144
Type: Location
1801 N Senate Blvd
Suite 535
Indianapolis, IN 462021204
Phone: (317) 963-1950
Fax: (317) 963-1955
Type: Location
9401 SW Discovery Way Ste 102
Port St Lucie, FL 349872381
Phone: (772) 288-2400
Fax: (772) 419-0144
Type: Location
9401 SW Discovery Way Ste 201
Port St Lucie, FL 349872381
Phone: (772) 288-2400
Fax: (772) 419-0144
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($38).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-10-25
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 |
|---|---|---|---|---|
| I20181025000703 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | FL | |
| Occupational Therapist In Private Practice | FL | |
| Qualified Speech Language Pathologist | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Occupational Therapist In Private Practice | FL | |
| Occupational Therapist In Private Practice | FL | |
| Occupational Therapist In Private Practice | FL |
Reviews
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