Individual provider Active NPI

Kirstin Zelonka Nunez

  • Physician Assistant
  • Doral, FL
National Provider Identifier
1255143145
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6416 NW 104TH Path
Doral, FL 33178-3055
Phone
(954) 243-9501
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 Primary

Addresses

Primary practice location

6416 NW 104TH Path
Doral, FL 33178-3055

Mailing address

6416 NW 104TH Path
Doral, FL 33178-3055

Other names 1

  • Kirstin Zelonka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250805000441 OR Practitioner - Physician Assistant 1355859901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgentcare NW-Astoria PCGroup PAC ID 5799847232, 5 clinicians

Practice addresses (Care Compare)

2120 Exchange St
Suite 111
Astoria, OR 97103-3366
Phone (503) 325-0333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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 5

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": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1255143145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 NW 104TH PATH",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 NW 104TH PATH",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783055",
            "telephone_number": "954-243-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELONKA NUNEZ",
        "first_name": "KIRSTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIN",
            "last_name": "ZELONKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.