Individual provider Active NPI

Marilee M Meeler, PA-C

  • Medical Physician Assistant
  • Key West, FL
National Provider Identifier
1063476950
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9102240 Issued in FL
Practice address
1111 12TH St Ste 103
Key West, FL 33040-4084
Phone
(305) 295-3535
Fax
(305) 294-6868
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9102240 FL Primary

Addresses

Primary practice location

1111 12TH St Ste 103
Key West, FL 33040-4084

Mailing address

1111 12TH St Ste 103
Key West, FL 33040-4084
Phone (305) 295-3535

Other identifiers 1

IdentifierTypeStateIssuer
PA 9102240OtherFLPA-C

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
I20090601000524 FL Practitioner - Physician Assistant 0143379719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Keys Medical Associates, PAGroup PAC ID 5395904270, 2 clinicians

Practice addresses (Care Compare)

1111 12TH St
Suite 103
Key West, FL 33040-4084
Phone (305) 295-3535

1111 12TH St
Suite 210
Key West, FL 33040-3001

Hospital & facility affiliations

  • Island Home Care Home health agency, Key West, FL, CCN 109772
  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150
  • Fishermen'S Community Hospital Hospital, Marathon, FL, CCN 101312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 9102240FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: mmeeler273717@mhsdirect.net
  • Direct secure messaging: marilee.meeler.1@14235.direct.athenahealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1063476950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH ST STE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404084",
            "telephone_number": "305-295-3535",
            "fax_number": "954-893-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST STE 103",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404084",
            "telephone_number": "305-295-3535",
            "fax_number": "305-294-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEELER",
        "first_name": "MARILEE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9102240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C",
            "identifier": "PA 9102240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.