Individual provider Active NPI

Katherine Lynn Pate, PA-C

  • Surgical Physician Assistant
  • Daytona Beach, FL
National Provider Identifier
1275161358
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9118332 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 301
Daytona Beach, FL 32117-5157
Phone
(386) 231-4450
Fax
(386) 231-4459
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 9118332 FL Primary
Surgical Physician Assistant 363AS0400X 4461 SC
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 301
Daytona Beach, FL 32117-5157

Mailing address

770 W Granada Blvd
Ormond Beach, FL 32174-5188
Phone (386) 231-4519

Other practice location 1

5005 Port St John Pkwy Ste 2200
Port St John, FL 32927-4305
Phone (321) 433-2247

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kpate157004@direct.lexmed.com
Direct Messaging Address katherine.pate@parrishmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220720001558 SC Practitioner - Physician Assistant 9436554193 Reassigns benefits to 1 organization
I20240417003284 FL Practitioner - Physician Assistant 9436554193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

305 Memorial Medical Pkwy
Suite 301
Daytona Beach, FL 32117-5157
Phone (386) 231-4450

5005 Port St John Pkwy
Port St John, FL 32927-4305

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6834

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4461SCMDOrthodontics and Dentofacial Orthopedic Dentist
9118332FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Jul 1, 2022 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Mar 23, 2026 Accepting new patients
Lexington Health, Inc CurrentSince Aug 1, 2022 Accepting new patients
Lexington Health Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

305 Memorial Medical Pkwy
Ste 301
Daytona Beach, FL 32117
Phone (386) 231-4450

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

146 E Hospital Dr
Ste 140350
West Columbia, SC 29169
Phone (803) 936-7230

Interoperability endpoints

  • Direct secure messaging: katherine.pate.1@17832.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1275161358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745188",
            "telephone_number": "386-231-4519",
            "fax_number": "386-368-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 301",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175157",
            "telephone_number": "386-231-4450",
            "fax_number": "386-231-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Port St John Pkwy Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Port St John",
            "state": "FL",
            "postal_code": "329274305",
            "country_code": "US",
            "telephone_number": "321-433-2247",
            "fax_number": "803-936-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATE",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "9118332",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "4461",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpate157004@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 140&350",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.pate@parrishmed.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "5005 Port St John Pkwy Ste 2200",
            "city": "Port St John",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329274305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.