AMANDA E. PAVLOCK – Pediatric Nurse Practitioner, NPI 1366605438
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMANDA E. PAVLOCK
3001 DR MLK JR BLVD W
TAMPA, FL 336076307
Phone: (913) 870-4000
Type: Location
1300, Sawgrass Corporate Parkway, Sunrise, Broward County, Florida, 33323, United States
SUITE 200
SUNRISE, FL 333232826
Phone: (800) 243-3839
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $174.
Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($71).
Total Amount
$174
General + Research + Ownership
Payments
8
Total payment records
General Amount
$174
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Actelion Pharmaceuticals US, Inc. | $71 |
| Elutia, Inc. | $37 |
| SOBI, INC | $25 |
| Medtronic, Inc. | $22 |
| ANI Pharmaceuticals, 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: 2017-05-24
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 |
|---|---|---|---|---|
| I20170524002740 | I | Nurse Practitioner | 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 33607)
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