ANNA KARENINA CAMMILLERI (PA-C) – Physician Assistant, NPI 1396280731
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for ANNA KARENINA CAMMILLERI (PA-C)
8500 GLADE MINNOW AVE
LAS VEGAS, NV 891131740
Phone: (702) 606-1165
Type: Mailing
11621 KEW GARDENS AVE STE 101A
PALM BEACH GARDENS, FL 334102853
Phone: (561) 253-3980
Fax: (561) 253-3985
Type: Location
PO BOX 160748
ALTAMONTE SPRINGS, FL 327160748
Phone: (561) 253-3980
Type: Mailing
1630 S Congress Ave Ste 200
Palm Springs, FL 334612171
Phone: (561) 253-3980
Fax: (561) 253-3985
Type: Location
100 N Green Valley Pkwy Ste 215
Henderson, NV 890746392
Phone: (702) 858-6260
Fax: (888) 703-3453
Type: Location
100 N GREEN VALLEY PKWY STE 215
HENDERSON, NV 890746392
Phone: (702) 858-6260
Type: Mailing
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: 2024-07-17
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 |
|---|---|---|---|---|
| I20240717000300 | 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 89113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Medical Oncology | FL | |
| Physician Assistant | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Medical Oncology | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Medical Oncology, Internal Medicine | FL | |
| Medical Oncology | FL | |
| Hematology/Oncology, Internal Medicine | FL |
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