Active NPI
Kerstie Phills, PA
- Physician Assistant
- Poinciana, FL
National Provider Identifier
1073338950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9119870
- Practice address
- 512 Cypress Pkwy FL Polkc
Poinciana, FL 34759-3310 - Phone
- (407) 483-4950
- Fax
- (407) 442-3490
- NPI assigned
- Nov 18, 2024
- Last updated
- Jan 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119870 | FL | Primary |
Addresses
Primary practice location
512 Cypress Pkwy FL Polkc
Poinciana, FL 34759-3310
Mailing address
512 Cypress Pkwy
Poinciana, FL 34759-3310
Phone (407) 483-4950
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1157 Miranda LN
Kissimmee, FL 34741-0763
Phone (407) 483-4950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9119870 | FL | MD | Physician Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1073338950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 CYPRESS PKWY",
"city": "POINCIANA",
"state": "FL",
"postal_code": "347593310",
"telephone_number": "407-483-4950",
"fax_number": "407-442-3490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 CYPRESS PKWY FL POLKC",
"city": "POINCIANA",
"state": "FL",
"postal_code": "347593310",
"telephone_number": "407-483-4950",
"fax_number": "407-442-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLS",
"first_name": "KERSTIE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9119870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poinciana, FL
- Gina Noel
- Nosky P.a. (Day Star Skin and Cancer Center)
- Nancy J Paolini, RN BSN
- Pellis LLC
- Phillips,Salomon & Parrish, PA
- Poinciana Dental
- Poinciana Dental, LLC
- Publix Super Markets Inc (Publix Pharmacy #0758)
- Jorge Inocencio Pupo Guerra, APRN
- Redeemed Health & Wellness LLC (Redeemed Health & Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.