KELLY FITZSIMMONS – Physician Assistant, NPI 1831564301
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for KELLY FITZSIMMONS
115 VALLEY BROOK CT
MIDDLESEX, NJ 088461625
Phone:
Type: Mailing
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 089011928
Phone: (732) 828-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,342.
Total Amount is formed as General ($1,342) + Research ($0) + Ownership ($0) = $1,342.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Medtronic, Inc. ($997).
Total Amount
$1,342
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,342
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $997 |
| Davol Inc. | $344 |
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: 2023-04-17
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 |
|---|---|---|---|---|
| I20190718002912 | I | Physician Assistant | NY | TBD |
| I20230417000133 | I | Physician Assistant | NJ | 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 08846)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gynecological Oncology, Obstetrics/Gynecology | WI | |
| Surgical Oncology | NY | |
| Maxillofacial Surgery | NY | |
| Nurse Practitioner | NY | |
| U R O L O G Y | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Oral Surgery | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NJ |
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