Individual provider Active NPI

Katherine Gavin, A.R.N.P.

  • Primary Care Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1831158484
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN-1583342 Issued in FL
Practice address
900 Village Square Xing Ste 250
Palm Beach Gardens, FL 33410
Phone
(561) 962-0101
Fax
(855) 287-7646
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN-1583342 FL Primary

Addresses

Primary practice location

900 Village Square Xing Ste 250
Palm Beach Gardens, FL 33410

Mailing address

900 Village Square Xing Ste 250
Palm Beach Gardens, FL 33410-4551
Phone (561) 962-0101

Other practice location 1

900 Village Square Xing Ste 250
Palm Beach Gardens, FL 33410
Phone (561) 962-0101

Other names 1

  • Katherine Flanagan Former name

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
I20151207001255 FL Practitioner - Nurse Practitioner 5890095392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Health Partners, LLCGroup PAC ID 1153669478, 3 clinicians

Practice addresses (Care Compare)

900 Village Square Xing
Suite 250
Palm Beach Gardens, FL 33410-4551
Phone (561) 962-0101

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score
94.92 of 100Reported as group
Quality
98.38
Promoting interoperability
100
Improvement activities
40
Cost
72.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-1583342FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Health Partners, LLC CurrentSince Sep 4, 2018 Accepting new patients

Locations

900 Village Square Xing
Ste 250
Palm Beach Gardens, FL 33410
Phone (561) 962-0101

Interoperability endpoints

  • Direct secure messaging: kgavin19842@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1831158484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 250",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104551",
            "telephone_number": "561-962-0101",
            "fax_number": "561-425-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 250",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-962-0101",
            "fax_number": "855-287-7646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Village Square Xing Ste 250",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "33410",
            "country_code": "US",
            "telephone_number": "561-962-0101",
            "fax_number": "855-287-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "KATHERINE",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "RN-1583342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FLANAGAN",
            "credential": "A.P.R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.