Individual provider Active NPI

Krystin Michelle Navarro, PA

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1487905220
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609
Phone
(904) 223-3321
Fax
(904) 223-2169
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PAT9106795 FL
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609

Mailing address

5191 First Coast Tech Pkwy FL 3
Jacksonville, FL 32224-0609
Phone (904) 223-3321

Other names 1

  • Krystin M Greene Former name

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
I20130510000406 FL Practitioner - Physician Assistant 2062659048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Institute of Pain Medicine LLCGroup PAC ID 4385769686, 38 clinicians

Practice addresses (Care Compare)

105 Whitehall Dr
St Augustine, FL 32086-5269
Phone (904) 800-7246

Merit-based Incentive Payment System (MIPS)

Final score
94.53 of 100Reported as group
Quality
91.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
70.19
Promoting interoperability
98
Improvement activities
40
Cost
68.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PAT9106795FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Institute of Pain Medicine LLC CurrentSince Jul 1, 2025 Accepting new patients
Physicians Group Services PA Physician Assistant Past Accepting new patients
Jacksonville Spine Center PA Past Accepting new patients
Georgia Spine & Pain Centers Past Accepting new patients
John Woeste Jr MD & Assoc PA Past Accepting new patients

Locations

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

105 Whitehall Dr
Ste 115
St Augustine, FL 32086
Phone (904) 800-7246

Organizations & group practices 5

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1487905220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY FL 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY FL 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "KRYSTIN",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PAT9106795",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTIN",
            "last_name": "GREENE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.