Active NPI
Kristin Midkiff, PA-C
- Physician Assistant
- Saint Johns, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112224
- Practice address
- 4580 Race Track Rd Ste 102
St Johns, FL 32259-2457 - Phone
- (904) 679-3537
- NPI assigned
- Mar 15, 2017
- Last updated
- Feb 17, 2026
- Sex
- Female
- 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 | PA9112224 | FL | Primary |
Addresses
Primary practice location
4580 Race Track Rd Ste 102
St Johns, FL 32259-2457
Mailing address
4580 Race Track Rd Ste 102
St Johns, FL 32259-2457
Phone (734) 330-6730
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4580 Race Track Rd
Suite 102
Saint Johns, FL 32259-2457
Phone (904) 679-3537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9112224 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Current | Accepting new patients |
| Solantic of Jacksonville, LLC | Current | Accepting new patients | |
| Avecina Medical, PA | Current | Accepting new patients | |
| Avecina Medical, PA | Current | Accepting new patients | |
| Avecina Medical PA | Past | Accepting new patients | |
| Solantic of Jacksonville, LLC | Past | Accepting new patients |
Locations
4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372
9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180
1708 Blanding Blvd
Middleburg, FL 32068
Phone (574) 551-5160
1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988
4580 Race Track Rd
Ste 102
St Johns, FL 32259
Phone (904) 679-3537
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1447771670
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
-
- Urgent Care Clinic/Center
- St Augustine, FL
- NPI 1740997865
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1962200717
-
dba CareSpot-Middleburg
- Urgent Care Clinic/Center
- Middleburg, FL
- NPI 1376218297
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
Physician Assistant
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1215082003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1336680982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 RACE TRACK RD STE 102",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322592457",
"telephone_number": "734-330-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 RACE TRACK RD STE 102",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322592457",
"telephone_number": "904-679-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDKIFF",
"first_name": "KRISTIN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
- Memorial Healthcare Group, Inc. (HCA Florida Julington Creek Emergency, a department of HCA Florida Memorial Hospital)
- Iley Mae Mendez, APRN, MSN
- Mental South Wellness PA
- Jada Merriex
- Michel Fernandez MD PA
- Weston Blake Mills, PA-C
- Felix Mitchell II, PHARMD
- Modern Day Dental
- Pamela H Montano, PA
- Kristin Moore
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.