Kristine Ann Rynn, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101505 Issued in FL

Practice address

734 Elkcam Blvd
Deltona, FL 32725-2626

Phone

(386) 532-8200

Fax

(386) 774-6862

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.99 of 100Reported as group

Quality

84.82

Promoting interoperability

100

Improvement activities

40

Cost

61.81

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Island Doctors Intrastate LLC

  • Primary Care Clinic/Center
  • Saint Augustine, FL
  • NPI 1568083889
  Medicare reassignment Care Compare group
• Roy H Hinman MD PA

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1649383845
  Medicare reassignment
• Emergency Physicians of St. Johns County

  • Emergency Medicine Physician
  • St Augustine, FL
  • NPI 1801881818
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1831142330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 ELKCAM BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327252626",
            "telephone_number": "386-532-8200",
            "fax_number": "386-774-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 ELKCAM BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327252626",
            "telephone_number": "386-532-8200",
            "fax_number": "386-774-6862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Mason Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321174500",
            "country_code": "US",
            "telephone_number": "904-794-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYNN",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "PA9101505",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - FLAGL",
            "identifier": "P00331050",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yashira Rosa-Rodriguez
• Marc Rosa, PT, DPT
• Samantha Rosario
• Michelle Ruefli, PTA
• Elizabeth Ruiz, CRPS
• S & M Carlyle Transportation LLC
• Sadrunnisa Hameedi MD PA
• Safe Haven Peaceful Living
• Eduardo Salas, PTA
• Simin Salehi

• Medical Physician Assistant in Deltona, FL
• Providers in Deltona, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.