GRACE SALAGALA (NP) – Nurse Practitioner, NPI 1467093203
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GRACE SALAGALA (NP)
1659 US HIGHWAY 27 N UNIT 102
AVON PARK, FL 338252106
Phone: (863) 657-0710
Fax: (863) 657-0711
Type: Location
Winkler Avenue, Fort Myers, Lee County, Florida, 33966, United States
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
4371 VERONICA S SHOEMAKER BLVD
FORT MYERS, FL 339162216
Phone: (239) 274-8200
Type: Mailing
1396 WHISPER CIR
SEBRING, FL 338701204
Phone: (863) 385-1244
Fax: (863) 385-6086
Type: Location
PO BOX 102222
ATLANTA, GA 303682222
Phone: (239) 274-8200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Janssen Biotech, Inc. ($149).
Total Amount
$170
General + Research + Ownership
Payments
9
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $149 |
| Seagen Inc. | $21 |
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: 2019-11-05
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 |
|---|---|---|---|---|
| I20191105002877 | 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 33825)
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