Active NPI
Kelsey Palhegyi, PA-C
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1093596090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1550 Riverside Ave Ste a
Jacksonville, FL 32204-4162 - Phone
- (904) 923-6647
- Fax
- (904) 355-7788
- NPI assigned
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1550 Riverside Ave Ste a
Jacksonville, FL 32204-4162
Mailing address
1550 Riverside Ave Ste a
Jacksonville, FL 32204-4162
Phone (904) 923-6647
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
957 E del Webb Blvd
Sun City Center, FL 33573-6671
Phone (813) 634-1484
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hightower Dermatology Services, LLC | Current | Accepting new patients |
Locations
957 E Del Webb Blvd
Ste 101
Sun City Ctr, FL 33573
Phone (813) 634-1484
Interoperability endpoints
- https://api.platform.athenahealth.com/7320/brand/1/csg/1/fhir/r4
- kelseypalhegyi@precisiondermatologyandskinsurgery.emadirect.md
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.
-
- Dermatology Physician
- Sun City Center, FL
- NPI 1740620178
-
- Dermatology Physician
- Jacksonville, FL
- NPI 1336553619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1093596090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 RIVERSIDE AVE STE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044162",
"telephone_number": "904-923-6647",
"fax_number": "904-355-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 RIVERSIDE AVE STE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044162",
"telephone_number": "904-923-6647",
"fax_number": "904-355-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALHEGYI",
"first_name": "KELSEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-06",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.