Individual provider Active NPI

Kaitlyn Mackenzie Frantz

  • Dermatology Physician
  • Winter Haven, FL
National Provider Identifier
1386514651
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA9120915 Issued in FL
Practice address
1450 6TH St SE
Winter Haven, FL 33880-4505
Phone
(863) 293-2147
NPI assigned
Nov 10, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PA9120915 FL Primary

Addresses

Primary practice location

1450 6TH St SE
Winter Haven, FL 33880-4505

Mailing address

1450 6TH St SE
Winter Haven, FL 33880-4505

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
I20260105002934 FL Practitioner - Physician Assistant 9234625732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K Wade Foster MD PAGroup PAC ID 3173663374, 17 clinicians

Practice addresses (Care Compare)

1450 6TH St SE
Winter Haven, FL 33880-4505
Phone (863) 293-2147

2502 Sand Mine Rd
Davenport, FL 33897-3402

2508 Sand Mine Rd
Suite a
Davenport, FL 33897-3402
Phone (863) 547-9670

421 Linden LN
Lake Wales, FL 33853-4342
Phone (863) 676-3411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9120915FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K Wade Foster MD PA CurrentSince Dec 8, 2025 Accepting new patients

Locations

24880 Burnt Pine Dr
Ste 1
Bonita Springs, FL 34134

421 Linden Ln
Lake Wales, FL 33853
Phone (863) 293-2147

1450 6th St SE
Winter Haven, FL 33880
Phone (863) 293-2147

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": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1386514651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804505",
            "telephone_number": "863-293-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANTZ",
        "first_name": "KAITLYN",
        "middle_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9120915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.