Kaitlyn Rose Sprague, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111136 Issued in FL

Practice address

560 Village Blvd Suite #150
West Palm Beach, FL 33409

Phone

(561) 331-8800

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

Yes

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric Specialty Center, LLCGroup PAC ID 2961702089, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288
• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Psychiatric Specialty Center LLC

  • Psychiatry Physician
  • Wellington, FL
  • NPI 1841678141
  Medicare reassignment Care Compare group
• Coral Shores Behavioral Health, LLC

  • Psychiatric Hospital
  • Stuart, FL
  • NPI 1366895096
  Medicare reassignment
• Mindpath Health Florida, PLLC

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1467467266

  Physician Assistant

  NPD (past)

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

• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• St. Mary'S Medical Center, Inc

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1952333205
  Care Compare affiliation
• Wellington Regional Medical Center LLC

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1073009353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S AUSTRALIAN AVE # 422",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015004",
            "telephone_number": "561-331-8800",
            "fax_number": "561-331-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 VILLAGE BLVD SUITE #150",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-331-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Specialists of South Florida, LLC
• Spine Therapy Associates LLC
• Spirit of Disabilities Enterprises LLC
• Daniel Lewis Spitz, M.D.
• Sports and Orthopedic Specialists Physical Therapy
• Christine Sprenger, PA-C
• Sprycare Senior Center, LLC
• Square One Behavioral Services Inc.
• Vijay Narasimhan Srinivasan, M.D.
• SRS Care Solutions LLC

• Physician Assistant in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.