Active NPI
Myrthil Dit Jimmy Mompremier, P.A
- Physician Assistant
- West Palm Beach, FL
National Provider Identifier
1174118871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PACN102
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9621 | AZ | MD | Physician Assistant |
| PACN102 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feliz Family Care, PLLC | Family Medicine | Past | 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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1780363754
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.