Individual provider Active NPI

Meghan Krystine Monroe, MSPAP, PA-C

  • Physician Assistant
  • South Miami, FL
National Provider Identifier
1124692686
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114241 Issued in FL
Practice address
6705 SW 57TH Ave
South Miami, FL 33143-3622
Phone
(305) 403-1181
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114241 FL Primary

Addresses

Primary practice location

6705 SW 57TH Ave
South Miami, FL 33143-3622

Mailing address

6705 S Red Rd Ste 518
South Miami, FL 33143-3649
Phone (305) 403-1181

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
I20210607001253 FL Practitioner - Physician Assistant 3779983184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

11760 Bird Rd
Suite 451
Miami, FL 33175-3598
Phone (305) 245-1332

3275 Ponce de Leon Blvd
Coral Gables, FL 33134-7251
Phone (305) 461-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Flores MD PA Current Accepting new patients

Locations

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135
  • FHIR API: https://api.platform.athenahealth.com/19507/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1124692686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 518",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433649",
            "telephone_number": "305-403-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-403-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "MEGHAN",
        "middle_name": "KRYSTINE",
        "name_prefix": "Ms.",
        "credential": "MSPAP, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.