LINDA MONDRAGON (PA-C) – Physician Assistant, NPI 1528439767
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for LINDA MONDRAGON (PA-C)
PO BOX 80690
CANTON, OH 447080690
Phone: (330) 363-7444
Fax: (330) 363-7770
Type: Mailing
340 OXFORD ST STE 120
DOVER, OH 446221969
Phone: (234) 801-2727
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-4910
Fax: (239) 343-4911
Type: Mailing
3511 MARTIN LUTHER KING BLVD
FORT MYERS, FL 339164651
Phone: (239) 343-4910
Fax: (239) 343-4911
Type: Location
3511 Martin Luther King Blvd
Fort Myers, FL 339164651
Phone: (239) 343-4910
Fax: (239) 343-4911
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-07-27 • Largest payer in this snapshot: ABBVIE INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $19 |
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: 2025-01-07
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 |
|---|---|---|---|---|
| I20160615001613 | I | Physician Assistant | FL | TBD |
| I20250107003879 | I | Physician Assistant | OH | 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 44708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
Reviews
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