RHONDA C REUBEN- KHAN (ARNP) – Adult Health Nurse Practitioner, NPI 1982095717
Adult Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RHONDA C REUBEN- KHAN (ARNP)
999 Avenue H NE
Polk State College
Winter Haven, FL 338814209
Phone: (863) 297-1000
Type: Location
170 N LIME AVE STE 710
SARASOTA, FL 342376122
Phone: (941) 867-0125
Fax: (941) 554-8106
Type: Location
10618 LOGAN CHASE LN
RIVERVIEW, FL 335792321
Phone: (813) 362-5549
Fax: (813) 672-1564
Type: Mailing
999 AVENUE H NE
POLK STATE COLLEGE
WINTER HAVEN, FL 338814209
Phone: (863) 297-1000
Type: Location
100 N MAIN ST
CHATTAHOOCHEE, FL 323241107
Phone: (813) 362-5549
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: 2021-02-10
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 |
|---|---|---|---|---|
| I20210210002412 | 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 33881)
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