COLLEEN NIEDZWIECKI, MD, PA
NPI 1528344157
Anesthesiology in Clearwater, FL
About Colleen Niedzwiecki, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN NIEDZWIECKI, MD, PA (NPI 1528344157) is a healthcare organization registered as an anesthesiology in Clearwater, Florida and active in the NPI registry since October 2011. The organization lists Colleen Niedzwiecki, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colleen Niedzwiecki, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Colleen Niedzwiecki, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Colleen Niedzwiecki, MD, PA's NPI number?
The NPI number for Colleen Niedzwiecki, MD, PA is 1528344157. It was assigned to this organization in the NPPES registry on October 27, 2011.
Where is Colleen Niedzwiecki, MD, PA located?
Colleen Niedzwiecki, MD, PA is located at 2730 N Mcmullen Booth Rd, Clearwater, FL 33761. The listed phone number is (727) 791-7300.
What is Colleen Niedzwiecki, MD, PA's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Colleen Niedzwiecki, MD, PA enrolled in Medicare?
Yes. Colleen Niedzwiecki, MD, PA is registered in the Medicare PECOS enrollment system.
When is Colleen Niedzwiecki, MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Colleen Niedzwiecki, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Colleen Niedzwiecki, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Colleen Niedzwiecki, MD, PA was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Colleen Niedzwiecki, Md, Pa · NPI 1528344157
Anesthesiology organization in Clearwater, Florida. Organization record, active in the CMS NPPES registry since October 27, 2011.
## Identity
- **NPI:** 1528344157 (Entity type: Organization)
- **Enumerated:** October 27, 2011
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Colleen Niedzwiecki, PRESIDENT
## Practice location
- **Address:** 2730 N MCMULLEN BOOTH RD, Clearwater, FL 33761-3302
- **Phone:** (727) 791-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1528344157) · Data from the CMS NPPES public registry.