Kailey Koontz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113974 Issued in FL

Practice address

16890 US Highway 441
Mount Dora, FL 32757-6705

Phone

(352) 729-2514

Fax

(352) 729-2613

NPI assigned

Feb 19, 2021

Last updated

Sep 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Orlando Carenow Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Springs, FL
  • NPI 1205389905
  Medicare reassignment Care Compare group
• Liberty Physicians Associates Inc

  • Multi-Specialty Clinic/Center
  • Longwood, FL
  • NPI 1376181446
  NPD
• Heathrow Internal Medicine LLC

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1033387865
  NPD (past)
• Paramount Urgent Care Inc

  dba Paramount Urgent Care Clermont

  • Clinic/Center
  • Clermont, FL
  • NPI 1629440078
  NPD (past)

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1477146413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16890 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576705",
            "telephone_number": "386-214-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16890 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576705",
            "telephone_number": "352-729-2514",
            "fax_number": "352-729-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "KAILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinnar R Shah DMD PA
• Carol J Kirkland, ARNP, CPNP
• Jocelyn N Kiss
• Jeffrey Robert Knittel, D.D.S., M.D.
• Mary K Kolacsky
• Josh Kramer
• Bradley B Kreisher
• Kenneth David Kronhaus, MD
• Caroline Elizabeth Krueger, D.M.D.
• Karen S Kyle, OTR/L

• Physician Assistant in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.