ADVANCED PRACTITIONER SERVICES – Family Nurse Practitioner, NPI 1457974602
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADVANCED PRACTITIONER SERVICES
1208 BOWMAN ST STE 1
CLERMONT, FL 347113144
Phone: (863) 216-2700
Fax: (845) 327-1074
Type: Mailing
345 US Highway 9 Ste 360
Englishtown, NJ 077263269
Phone: (732) 599-0690
Fax: (845) 327-1074
Type: Location
400 Rella Blvd Ste 207-415
Montebello, NY 109014241
Phone: (732) 599-0690
Fax: (845) 327-1074
Type: Location
3 FURTHER LN
MORGANVILLE, NJ 077511173
Phone: (732) 599-0690
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: 2023-08-21
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 |
|---|---|---|---|---|
| O20210330001669 | O | Clinic/Group Practice | FL | TBD |
| O20230821001390 | O | Clinic/Group Practice | NY | 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 34711)
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