Active NPI
McKenzi A Payne, PA-C
- Medical Physician Assistant
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9119135
- Practice address
- 11645 Biscayne Blvd Ste 401, 403, 405
North Miami, FL 33181 - Phone
- (305) 538-8835
- Fax
- (305) 994-0054
- NPI assigned
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119135 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9119135 | FL | Primary |
Addresses
Primary practice location
11645 Biscayne Blvd Ste 401, 403, 405
North Miami, FL 33181
Mailing address
11645 Biscayne Blvd Ste 207
North Miami, FL 33181-3138
Phone (305) 538-8835
Other practice location 1
1221 71st St
Miami Beach, FL 33141-3647
Phone (305) 538-8835
Other practice location 2
710 Alton Rd
Miami Beach, FL 33139-5504
Phone (305) 538-8835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124546400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 S Federal Hwy
Fort Lauderdale, FL 33316-1256
Phone (225) 239-7190
3481 N University Dr
Coral Springs, FL 33065-1628
Phone (225) 239-7190
Hospital & facility affiliations
- Holy Cross Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9119135 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Beach Community Health Center Inc | Current | Accepting new patients | |
| Miami Beach Community Health Center Inc | Current | Accepting new patients | |
| Miami Beach Community Health Center Inc | Past | Accepting new patients |
Locations
1221 71st St
Miami Beach, FL 33141
710 Alton Rd
Miami Beach, FL 33139
11645 Biscayne Blvd
Ste 401
North Miami, FL 33181
11645 Biscayne Blvd
Ste 408
North Miami, FL 33181
11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229
Interoperability endpoints
- mpayne3787991@direct.trinity-health.org
- mckenzi.payne.1@28804.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1144824699
-
- Federally Qualified Health Center (FQHC)
- Miami Beach, FL
- NPI 1063411874
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1053780734
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1104357565
-
- Federally Qualified Health Center (FQHC)
- Miami Beach, FL
- NPI 1821251612
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1013740489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 BISCAYNE BLVD STE 207",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331813138",
"telephone_number": "305-538-8835",
"fax_number": "305-994-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 BISCAYNE BLVD STE 401, 403, 405",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "33181",
"telephone_number": "305-538-8835",
"fax_number": "305-994-0054"
}
],
"practiceLocations": [
{
"address_1": "1221 71st St",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331413647",
"country_code": "US",
"telephone_number": "305-538-8835",
"fax_number": "305-994-0054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "710 Alton Rd",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331395504",
"country_code": "US",
"telephone_number": "305-538-8835",
"fax_number": "305-994-0054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "MCKENZI",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9119135",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9119135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124546400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.