Kristin C. Beal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116692 Issued in FL

Practice address

870 111TH Ave N Ste 4
Naples, FL 34108-1869

Phone

(239) 649-3090

NPI assigned

Dec 19, 2019

Last updated

Aug 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woodruff Institute LLCGroup PAC ID 1658351101, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbeal@directaddress.net
• Direct secure messaging: kcbeal@aadermaffiliates.emadirect.md
• Direct secure messaging: kristinpa@woodruff.emadirect.md

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.

• Woodruff Institute LLC

  dba The Woodruff Institute

  • Dermatology Physician
  • Naples, FL
  • NPI 1558371195
  Medicare reassignment Care Compare group
• Azalea Skin Treatment Center PA

  • Specialist
  • Garner, NC
  • NPI 1760512032
  NPD
• Dermatology Solutions a Profession Limited Liability Com

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1750558516
  NPD (past)
• Anne Arundel Dermatology Affiliates PC

  • Dermatology Physician
  • Hunt Valley, MD
  • NPI 1083200794
  NPD (past)

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1053959098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 VENETIAN COURT",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341098728",
            "telephone_number": "239-596-9337",
            "fax_number": "239-596-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 111TH AVE N STE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081869",
            "telephone_number": "239-649-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "KRISTIN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2023-08-24",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayshore Drive Chiropractic Inc
• Bayshore Memory Care
• Ervanlie Bazile, OTD
• BBHF LLC
• Beacon Health LLC
• Beals Injury Center Inc
• Cayla Beane
• Bear Country Living Adult Care
• Laura Catherine Beatty
• Robert Patrick Beatty, MD

• Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.

Verify at the official NPI Registry.