Individual provider Active NPI

Allison Kaye Rayner, PA-C

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1275907446
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108892 Issued in FL
Practice address
2101 S US Highway 1
Jupiter, FL 33477-7321
Phone
(561) 748-0510
Fax
(561) 748-0598
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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 PA9108892 FL Primary

Addresses

Primary practice location

2101 S US Highway 1
Jupiter, FL 33477-7321

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7176
Phone (407) 875-2080

Other names 1

  • Allison Kaye Milliner Former name

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
I20160222001998 FL Practitioner - Physician Assistant 4183929615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group M Dermatology PAGroup PAC ID 0446534374, 5 clinicians

Practice addresses (Care Compare)

2101 S US Hwy 1
Jupiter, FL 33477-7321
Phone 5617480510126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc CurrentSince Dec 9, 2015 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Dec 9, 2015 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

2101 S US Highway 1
Jupiter, FL 33477
Phone (561) 748-0510

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1275907446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517176",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S US HIGHWAY 1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334777321",
            "telephone_number": "561-748-0510",
            "fax_number": "561-748-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "ALLISON",
        "middle_name": "KAYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MILLINER",
            "middle_name": "KAYE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.