Active NPI
Mei Mei Chan, PA-C
- Physician Assistant
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9104152
- Practice address
- 902 Clint Moore Rd
Ste 227
Boca Raton, FL 33487-2800 - Phone
- (877) 345-5300
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 23-011150 | NY | |
| Physician Assistant | 363A00000X | PA 9104152 | FL | Primary |
Addresses
Primary practice location
902 Clint Moore Rd
Ste 227
Boca Raton, FL 33487-2800
Mailing address
20728 Torre del Lago St
Estero, FL 33928-6384
Phone (347) 752-1903
Other practice location 1
13770 Plantation Rd # 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011
Other practice location 2
870 111th Ave N Ste 4
Naples, FL 34108-1869
Phone (941) 444-0011
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13770 Plantation Rd
Suite 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011
16461 Domestic Ave
Fort Myers, FL 33912-6008
Phone (877) 266-7768
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9104152 | FL | MD | Physician Assistant |
| 23-011150 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVP Medical Practice PC | Past | Accepting new patients |
Interoperability endpoints
- mchan@onspotdermatology.emadirect.md
Organizations & group practices 2
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.
-
- Dermatology Physician
- Fort Myers, FL
- NPI 1144827577
-
- Infectious Disease Physician
- Brooklyn, NY
- NPI 1912541061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1548221963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20728 TORRE DEL LAGO ST",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286384",
"telephone_number": "347-752-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 CLINT MOORE RD",
"address_2": "STE 227",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872800",
"telephone_number": "877-345-5300"
}
],
"practiceLocations": [
{
"address_1": "13770 Plantation Rd # 103",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124460",
"country_code": "US",
"telephone_number": "941-444-0011",
"fax_number": "603-952-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "870 111th Ave N Ste 4",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341081869",
"country_code": "US",
"telephone_number": "941-444-0011",
"fax_number": "603-952-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "MEI MEI",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "23-011150",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9104152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.