Individual provider Active NPI

Kirstin Nicole Huffman-Mace, PA-C

  • Medical Physician Assistant
  • Vero Beach, FL
National Provider Identifier
1134433311
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9109809 Issued in FL
Practice address
1910 82ND Ave Ste 105
Vero Beach, FL 32966-6991
Phone
(772) 226-0425
Fax
(888) 815-1625
NPI assigned
Jul 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9109809 FL Primary
Medical Physician Assistant 363AM0700X 01460 WV

Addresses

Primary practice location

1910 82ND Ave Ste 105
Vero Beach, FL 32966-6991

Mailing address

1910 82ND Ave Ste 105
Vero Beach, FL 32966-6991
Phone (772) 226-0425

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
I20171023001033 FL Practitioner - Physician Assistant 5294915997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Oceanside Health and Wellness LLCGroup PAC ID 3072986207, 2 clinicians

Practice addresses (Care Compare)

1910 82ND Ave
Suite 105
Vero Beach, FL 32966-6991
Phone (772) 226-0425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9109809FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Associates, Inc. Past Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AECJCD/Endpoint/AECJCD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 1

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": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1134433311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 82ND AVE STE 105",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666991",
            "telephone_number": "772-226-0425",
            "fax_number": "888-815-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 82ND AVE STE 105",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666991",
            "telephone_number": "772-226-0425",
            "fax_number": "888-815-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN-MACE",
        "first_name": "KIRSTIN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9109809",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.