Active NPI
Kristin Marie Winters, MMS, PA-C
- Physician Assistant
- Ocala, FL
National Provider Identifier
1346559705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105785
- Practice address
- 6880 SW 19TH Avenue Rd
Ocala, FL 34476-6744 - Phone
- (772) 260-5833
- NPI assigned
- Oct 4, 2010
- 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 | PA9105785 | FL | Primary |
Addresses
Primary practice location
6880 SW 19TH Avenue Rd
Ocala, FL 34476-6744
Mailing address
12957 S Magnolia Ave
Ocala, FL 34473-8518
Phone (352) 895-8418
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110801000432 | FL | Practitioner - Physician Assistant | 4688843089 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Magnolia Family Urgent Care, LLC
Practice addresses (Care Compare)
1834 SW 1St Ave
Suite 201
Ocala, FL 34471-8102
Phone (352) 512-9703
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1346559705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12957 S MAGNOLIA AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344738518",
"telephone_number": "352-895-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6880 SW 19TH AVENUE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344766744",
"telephone_number": "772-260-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERS",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MMS, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.