MEGAN MUKAVETZ (P.A.) – Physician Assistant, NPI 1699702944
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MEGAN MUKAVETZ (P.A.)
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 986838004
Phone: (360) 729-1462
Fax: (360) 729-3104
Type: Mailing
1032 Mar Walt Dr Unit 230
Fort Walton Beach, FL 325476661
Phone: (850) 862-3194
Type: Location
2979 Squalicum Pkwy Ste 201
Bellingham, WA 98225
Phone: (360) 788-6800
Fax: (360) 788-6801
Type: Location
9981 S Healthpark Dr
Suite 120
Fort Myers, FL 339083618
Phone: (239) 343-6341
Fax: (239) 343-6342
Type: Location
1100 E MICHIGAN AVE
JACKSON, MI 492011847
Phone: (517) 205-7605
Type: Mailing
HealthPark Medical Center, 9981, South Healthpark Drive, Cypress Cove Villas, Fort Myers, Lee County, Florida, 33908, United States
SUITE 120
FORT MYERS, FL 339083618
Phone: (239) 343-6341
Fax: (239) 343-6342
Type: Location
1100 E MICHIGAN AVE STE 307
JACKSON, MI 492011850
Phone: (517) 205-7605
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 $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-07-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $13 |
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: 2021-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050422000441 | I | Physician Assistant | FL | TBD |
| I20190524002295 | I | Physician Assistant | MI | TBD |
| I20210108000443 | I | Physician Assistant | IL | 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 98683)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Pulmonary Disease | MI | |
| H O S P I T A L I S T | MI | |
| Physician Assistant | MI | |
| Thoracic Surgery | IL | |
| Nurse Practitioner | MI | |
| - | MI | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI |
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