Kaitlen Hennessey Martell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9118734 Issued in FL

Practice address

16215 S Jog Rd Ste 100
Delray Beach, FL 33446-2387

Phone

(561) 303-0013

NPI assigned

Apr 17, 2024

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

Other names 1

• Kaitlen Mary Hennessey Former name

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siny Dermatology FloridaGroup PAC ID 1153762216, 2 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 and National Provider Directory roles.

• Siny Dermatology Florida

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1093565293
  Medicare reassignment Care Compare group
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  Medicare reassignment
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD
• Live Beyond Medical MGMT LLC

  • Clinical Medical Laboratory
  • Delray Beach, FL
  • NPI 1386229938
  NPD (past)

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1508611260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 ATLANTIC AVE APT 208",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848595",
            "telephone_number": "954-495-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 S JOG RD STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462387",
            "telephone_number": "561-303-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "KAITLEN",
        "middle_name": "HENNESSEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLEN",
            "last_name": "HENNESSEY",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel S Marr, PSY.D.
• Marriage & Family Services, Inc.
• Christina Marie Marro, MA CCC-SLP
• Kimberly Ann Marrone, L. AC.
• Hansel Marson
• Richard D Martello, MD
• Tara Marie Martello, MS, OTRL
• Martin E Karns PA
• Martin G Bloom MD PA
• Martin G. Bloom, MD, PA

• Physician Assistant in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.