JOLENE KEIKO GORANOVIC (AA-C) – Anesthesiologist Assistant, NPI 1083967806
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 ANESTHESIOLOGY ASSISTANT in MO
Provider Addresses for JOLENE KEIKO GORANOVIC (AA-C)
1102 W 32ND ST
JOPLIN, MO 648043503
Phone: (417) 347-6671
Type: Location
PO BOX 2400
MELBOURNE, FL 329022400
Phone: (321) 255-9671
Type: Mailing
1304 OAK ST
MELBOURNE, FL 329013111
Phone: (321) 723-4723
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Axonics, Inc. ($136).
Total Amount
$136
General + Research + Ownership
Payments
1
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $136 |
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: 2026-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20121120000101 | I | Anesthesiology Assistant | FL | TBD |
| I20260311003289 | I | Anesthesiology Assistant | MO | 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 |
|---|---|---|---|---|
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 20 | 20 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 15 | 15 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 14 | 14 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 13 | 13 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 12 | 12 | $0 |
Insurance plans in this area (ZIP 64804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Diagnostic Radiology | FL | |
| Emergency Medicine | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Diagnostic Radiology | FL | |
| Emergency Medicine | FL | |
| Nurse Practitioner | NC | |
| - | FL | |
| - | FL | |
| - | FL |
Reviews
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