BRYANNE RENEE KEBLIS (PA-C) – Physician Assistant, NPI 1083231419
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for BRYANNE RENEE KEBLIS (PA-C)
PO BOX 860912
MINNEAPOLIS, MN 554860912
Phone:
Type: Mailing
1301 Palm Ave Ste 600
Jacksonville, FL 322078457
Phone: (904) 202-7300
Fax: (904) 202-2754
Type: Location
1573 ANGEL FALLS DR
FRISCO, TX 750367764
Phone: (214) 636-6784
Type: Mailing
7331 GASTON AVE UNIT 180
DALLAS, TX 752144131
Phone: (214) 499-9555
Type: Location
1424 SUMMIT AVE APT 2053
FORT WORTH, TX 761025973
Phone: (214) 636-6784
Type: Mailing
1500 S MAIN ST
FORT WORTH, TX 761044917
Phone: (817) 884-3204
Type: Location
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
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: 2024-08-21
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 |
|---|---|---|---|---|
| I20240821000654 | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 61 | 31 | $0 |
Insurance plans in this area (ZIP 55486)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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