MS. KRISTIN J OVADAL (PAC) – Physician Assistant, NPI 1063407930
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
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Provider Addresses for MS. KRISTIN J OVADAL (PAC)
1504, South Commercial Street, Mahler Farm, Neenah, Winnebago County, Wisconsin, 54956, United States
NEENAH, WI 54956
Phone: (920) 969-7723
Type: Mailing
333, North Green Bay Road, Town of Neenah, Winnebago County, Wisconsin, 54956, United States
NEENAH, WI 549561954
Phone: (920) 729-6088
Fax: (920) 729-6484
Type: Location
2441 SURFSIDE BLVD STE 200
CAPE CORAL, FL 339143861
Phone: (239) 541-7500
Fax: (239) 541-7501
Type: Location
2441 Surfside Blvd Ste 200
Cape Coral, FL 339143861
Phone: (239) 541-7500
Fax: (239) 541-7501
Type: Location
4771 S CLEVELAND AVE
FORT MYERS, FL 339071317
Phone: (239) 343-9800
Fax: (239) 343-9848
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 541-7500
Fax: (239) 541-7501
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: 2020-10-19
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 |
|---|---|---|---|---|
| I20201019001085 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 428 | 302 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 170 | 154 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 126 | 126 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 48 | 23 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 40 | 15 | $0 |
Insurance plans in this area (ZIP 54956)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 83036 | Hemoglobin A1C level | 25 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Critical Care (Intensivists), Pediatric Medicine | FL | |
| General Surgery | MI | |
| N E U R O L O G Y | MO | |
| Medical Genetics And Genomics | MI | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| General Surgery | FL | |
| Family Practice | FL |
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