IRINA GUTSALYUK (PA) – Physician Assistant, NPI 1073522942
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for IRINA GUTSALYUK (PA)
3931 LOUISANA AVE. S.
ST. LOUIS PARK, MN 55426
Phone: (952) 993-2079
Fax: (716) 887-5045
Type: Mailing
310 Southeast Veranda West Boulevard
Port Saint Lucie, FL 34984
Phone: (772) 309-8500
Type: Location
3931 Louisana Ave. S.
St. Louis Park, MN 55426
Phone: (952) 993-2079
Fax: (716) 887-5045
Type: Location
PO BOX 20800
BELFAST, ME 049154105
Phone: (888) 402-7256
Fax: (888) 902-1099
Type: Mailing
370 SOUTHEAST VERANDA FALLS WAY
SUITE 102
PORT SAINT LUCIE, FL 34984
Phone: (772) 763-1720
Fax: (772) 214-3027
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: 2016-09-08
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 |
|---|---|---|---|---|
| I20160908002290 | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 262 | 262 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 131 | $0 |
Insurance plans in this area (ZIP 55426)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Nurse Practitioner | FL | |
| U R O L O G Y | NY | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| - | FL | |
| - | GA |
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