Individual provider Active NPI

Caitlin N Dammin, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1487075008
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119202 Issued in FL
Practice address
1131 S Orange Ave
Orlando, FL 32806-1226
Phone
(941) 444-0011
Fax
(603) 952-3900
NPI assigned
Dec 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61073 CA
Physician Assistant 363A00000X PA9119202 FL Primary

Addresses

Primary practice location

1131 S Orange Ave
Orlando, FL 32806-1226

Mailing address

108 Canterbury PL
Jupiter, FL 33458-6529
Phone (410) 236-6995

Other practice location 1

57463 29 Palms Hwy Ste 201
Yucca Valley, CA 92284-2925
Phone (760) 365-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170227001377 NC Practitioner - Physician Assistant 9638453228 Reassigns benefits to 1 organization
I20250328003047 FL Practitioner - Physician Assistant 9638453228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Practice addresses (Care Compare)

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

16461 Domestic Ave
Fort Myers, FL 33912-6008
Phone (877) 266-7768

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61073CAMDPhysician Assistant
PA9119202FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Practice PC Past Accepting new patients
MCV Associated Physicians PastSince Jul 25, 2019 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: caitlin.dammin@488678167609348.direct.elationemr.com

Organizations & group practices 4

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": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1487075008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CANTERBURY PL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586529",
            "telephone_number": "410-236-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061226",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57463 29 Palms Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922842925",
            "country_code": "US",
            "telephone_number": "760-365-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMMIN",
        "first_name": "CAITLIN",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-27",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61073",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.