Katie Zajechowski, PA
Individual provider Active NPI Physician Assistant · Naples, FL
NPI 1043595713 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1043595713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9106290 (FL)
- Practice address
- 708 Goodlette Rd Ste 3023
Naples, FL 34102-5644 - Phone
- (239) 231-7260
- Fax
- (239) 567-3667
- NPI assigned
- Oct 13, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130710000429 | FL | Practitioner - Physician Assistant | 2264672567 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Oncology Partners, P.a. | Past |
Accepting new patients | |
| American Oncology Partners, P.a. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | PA9106290 | FL | Yes |
Addresses
Primary practice location
708 Goodlette Rd Ste 3023
Naples, FL 34102-5644
Mailing address
PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100
Other practice location 1
681 4th Ave N
Lugert West Building
Naples, FL 34102-5729
Phone (239) 434-2622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008345300 | Medicaid | FL |
Other providers in Naples, FL
- Keniya Yzaguirre
- Jacob Zacarias
- Lisa Zack
- Mohsin Zafar
- Izzah Zainab
- Amber Zakrajsek
- Alyssa Zallie
- Donald Zamora Lopez
- Adrian Carlos Zamora III
- Alvaro Jose Zamora
All providers in Naples, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.