STEPHANIE CRUM (PA) – Interventional Pain Medicine Physician, NPI 1396406120
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STEPHANIE CRUM (PA)
3200 S UNIVERSITY DR
DAVIE, FL 333282018
Phone: (954) 262-1250
Type: Mailing
490 LOMOND DR
PORT CHARLOTTE, FL 339531526
Phone:
Type: Mailing
19621 COCHRAN BLVD
PORT CHARLOTTE, FL 339482070
Phone: (954) 262-1250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $4,773.
Total Amount is formed as General ($4,773) + Research ($0) + Ownership ($0) = $4,773.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($1,849).
Total Amount
$4,773
General + Research + Ownership
Payments
49
Total payment records
General Amount
$4,773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $1,849 |
| Curonix LLC | $806 |
| Nevro Corp. | $653 |
| Boston Scientific Corporation | $609 |
| Vertos Medical, Inc. | $434 |
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: 2023-09-07
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 |
|---|---|---|---|---|
| I20230907004450 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33328)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.