Individual provider Active NPI

Karoline Casey Dempsey, PAC

  • Physician Assistant
  • Miramar Beach, FL
National Provider Identifier
1063423036
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104546 Issued in FL
Practice address
12469 Emerald Coast Pkwy W
Miramar Beach, FL 32550
Phone
(850) 654-3376
Fax
(850) 654-3320
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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 PA9104546 FL Primary

Addresses

Primary practice location

12469 Emerald Coast Pkwy W
Miramar Beach, FL 32550

Mailing address

12469 Emerald Coast Pkwy W
Miramar Beach, FL 32550-8305
Phone (850) 654-3376

Other identifiers 5

IdentifierTypeStateIssuer
000010153205OtherIDREGENCE BS MTN HOME
807305800MedicaidID
PAZR3OtherIDBLUE CROSS
0000101532303OtherIDREGENCE BS BOISE
000010153985OtherIDREGENCE EMMETT

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
I20101026000745 FL Practitioner - Physician Assistant 5698795433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Skin Surgery and Dermatology, PLGroup PAC ID 3173715869, 15 clinicians

Practice addresses (Care Compare)

12469 Emerald Coast Pkwy
Suite 101
Miramar Beach, FL 32550-8306
Phone (850) 654-3376

12469 Emerald Coast Pkwy W
Suite 101
Miramar Beach, FL 32550-8306

912 Mar Walt Dr
Fort Walton BCH, FL 32547-6706
Phone (850) 314-7546

914 A Mar Walt Dr a
Fort Walton Beach, FL 32547-6706
Phone (850) 654-3376

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003821GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Winfield Turner Sr MD PA PastSince Nov 1, 2009 Accepting new patients
Atlanta Cardiac & Thoracic Surgery Past Accepting new patients
Wellstar Cobb Surgical Associates, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1063423036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12469 EMERALD COAST PKWY W",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325508305",
            "telephone_number": "850-654-3376",
            "fax_number": "850-654-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12469 EMERALD COAST PKWY W",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "32550",
            "telephone_number": "850-654-3376",
            "fax_number": "850-654-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "KAROLINE",
        "middle_name": "CASEY",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS MTN HOME",
            "identifier": "000010153205",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807305800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PAZR3",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS BOISE",
            "identifier": "0000101532303",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE EMMETT",
            "identifier": "000010153985",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.