Kara Nicole Peck, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9107365 Issued in FL

Practice address

214 Sullivan St
New York, NY 10012-1354

Phone

(724) 385-3700

NPI assigned

Jan 29, 2014

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

• Kara Nicole Hartmann 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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siperstein Dermatology Group PLLCGroup PAC ID 3476683145, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.82 of 100Reported as group

Quality

93.58

Promoting interoperability

100

Improvement activities

40

Cost

79.16

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kpeck@siperstein.emadirect.md

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.

• Siperstein Dermatology Group, PLLC

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1609101278
  Medicare reassignment Care Compare group
• Derm Specs of PA PLLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1528823507
  NPD (past)
• Dermatology Center of the Palm Beaches PA

  • Dermatology Physician
  • Lake Worth, FL
  • NPI 1497359426
  NPD (past)
• Schorr & Feder DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Boynton Beach, FL
  • NPI 1285707992
  NPD (past)
• Synergy Dermatology LLC

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1699154450
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1801219670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SULLIVAN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121354",
            "telephone_number": "212-385-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SULLIVAN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121354",
            "telephone_number": "724-385-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 W Boynton Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334263625",
            "country_code": "US",
            "telephone_number": "561-737-8376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "KARA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9107365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "HARTMANN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Maree Peck, LCSW, MA, MSW, BBA
• Danielle Peck
• Elizabeth Peck, OTR/L
• Emily Peck
• Judith Stern Peck, M.S.W,
• Linda S Peck, LCAT
• Rochelle L Peck, MD
• Sara Peck
• Spencer Paul Peck
• Valerie Peck, MD

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.