Individual provider Active NPI

Kelly Kompinski, PA-C

  • Medical Physician Assistant
  • Naples, FL
National Provider Identifier
1083208003
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9114058 Issued in FL
Practice address
878 109TH Ave N
Naples, FL 34108-1814
Phone
(239) 513-1002
Fax
(239) 513-1915
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 PA9114058 FL Primary

Addresses

Primary practice location

878 109TH Ave N
Naples, FL 34108-1814

Mailing address

3835 41St Ave NE
Naples, FL 34120-1884
Phone (239) 470-1650

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
I20210308001129 FL Practitioner - Physician Assistant 3476969924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Gulf Coast Ear Nose and Throat LLCGroup PAC ID 0042249625, 12 clinicians

Practice addresses (Care Compare)

2180 Immokalee Rd
Suite 101
Naples, FL 34110-1422
Phone (239) 514-2225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114058FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Floridagulfcoast Earnoseandthroat LLC CurrentSince Jan 17, 2026 Accepting new patients

Locations

9250 Corkscrew Rd
Ste 7
Estero, FL 33928
Phone (239) 498-2528

2180 Immokalee Rd
Ste 101
Naples, FL 34110
Phone (239) 514-2225

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1083208003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 41ST AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201884",
            "telephone_number": "239-470-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 109TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081814",
            "telephone_number": "239-513-1002",
            "fax_number": "239-513-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMPINSKI",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.