Individual provider Active NPI

Kristin Midkiff, PA-C

  • Physician Assistant
  • Saint Johns, FL
National Provider Identifier
1336680982
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112224 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220000453 FL Practitioner - Physician Assistant 5799062030 Reassigns benefits to 2 organizations

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
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

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

LicenseStateTypeSpecialty
PA9112224FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Jun 1, 2017 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Aug 15, 2021 Accepting new patients
Avecina Medical, PA CurrentSince Jan 22, 2025 Accepting new patients
Avecina Medical, PA CurrentSince Jan 22, 2025 Accepting new patients
Avecina Medical PA Past Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 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.

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

Sources for this page

Verify at the official NPI Registry.