Individual provider Active NPI

Mekenna Anne Barton, PA-C

  • Physician Assistant
  • Orange Park, FL
National Provider Identifier
1033858691
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
906 Park Ave
Orange Park, FL 32073-4120
Phone
(904) 541-0315
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

906 Park Ave
Orange Park, FL 32073-4120

Mailing address

906 Park Ave
Orange Park, FL 32073-4120

Other practice location 1

15255 Max Leggett Pkwy Ste 5100
Jacksonville, FL 32218-7274
Phone (904) 541-0315

Other practice location 2

1677 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4845
Phone (904) 644-0200

Other practice location 3

1543 Kingsley Ave Ste 16
Orange Park, FL 32073-4570
Phone (904) 541-0315

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
I20220805000389 FL Practitioner - Physician Assistant 4082096128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Avenue Dermatology PAGroup PAC ID 7517979933, 14 clinicians

Practice addresses (Care Compare)

906 Park Ave
Orange Park, FL 32073-4120
Phone (904) 541-0315

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
100
Improvement activities
40
Cost
61.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E. Schmieder DO. Facep, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mstonick@pad.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1033858691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734120",
            "telephone_number": "904-541-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15255 Max Leggett Pkwy Ste 5100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322187274",
            "country_code": "US",
            "telephone_number": "904-541-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1677 Eagle Harbor Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034845",
            "country_code": "US",
            "telephone_number": "904-644-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1543 Kingsley Ave Ste 16",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734570",
            "country_code": "US",
            "telephone_number": "904-541-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTON",
        "first_name": "MEKENNA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.