Individual provider Active NPI

Mei Mei Chan, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1548221963
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9104152 Issued in FL
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

Updated by the provider on Sep 8, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000954 FL Practitioner - Physician Assistant 0840483608 Reassigns benefits to 1 organization

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
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

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 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 9104152FLMDPhysician Assistant
23-011150NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Practice PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.