Individual provider Active NPI

McKenzie Layne Manresa, PA-C

  • Medical Physician Assistant
  • Ocala, FL
National Provider Identifier
1013492453
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9111695 Issued in FL
Practice address
2111 SW 20TH PL
Ocala, FL 34471-7734
Phone
(352) 622-4251
Fax
(352) 622-0102
NPI assigned
Oct 2, 2018
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9111695 FL Primary

Addresses

Primary practice location

2111 SW 20TH PL
Ocala, FL 34471-7734

Mailing address

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Other identifiers 1

IdentifierTypeStateIssuer
101257000MedicaidFL

Other names 1

  • McKenzie L Montgomery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204003899 FL Practitioner - Physician Assistant 4082958830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (407) 578-0033

32 W Gore St
Orlando, FL 32806-1134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2018 Accepting new patients

Locations

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7236 Stonerock Cir
Orlando, FL 32819
Phone (407) 354-1202

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mmontgomery30906@orlandohealth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1013492453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717734",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717734",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRESA",
        "first_name": "MCKENZIE",
        "middle_name": "LAYNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101257000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENZIE",
            "last_name": "MONTGOMERY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.