Individual provider Active NPI

Myrthil Dit Jimmy Mompremier, P.A

  • Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1174118871
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PACN102 Issued in FL
Practice address
1501 Presidential Way
West Palm Beach, FL 33401-1800
Phone
(561) 686-8200
Fax
(561) 478-7426
NPI assigned
Mar 4, 2021
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 PACN102 FL Primary

Addresses

Primary practice location

1501 Presidential Way
West Palm Beach, FL 33401-1800

Mailing address

1501 Presidential Way
West Palm Beach, FL 33401-1800
Phone (561) 686-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9621AZMDPhysician Assistant
PACN102FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Feliz Family Care, PLLC Family Medicine PastSince Jul 23, 2023 Accepting new patients
Happy Kids Pediatrics P.C. Family Medicine Past Accepting new patients

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, 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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1174118871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011800",
            "telephone_number": "561-686-8200",
            "fax_number": "561-478-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011800",
            "telephone_number": "561-686-8200",
            "fax_number": "561-478-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMPREMIER",
        "first_name": "MYRTHIL",
        "middle_name": "DIT JIMMY",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PACN102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.