Individual provider Active NPI

Jamie R. Kinsey, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1851675615
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5002 Campton CT
Tampa, FL 33647-2048
Phone
(352) 572-2913
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5002 Campton CT
Tampa, FL 33647-2048

Mailing address

5002 Campton CT
Tampa, FL 33647-2048
Phone (352) 572-2913

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
I20111215000706 FL Practitioner - Physician Assistant 5092980219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

10500 Ulmerton Rd
Suite 202
Largo, FL 33771-3544
Phone (727) 518-2273

12105 W Linebaugh Ave
Suite 1216
Tampa, FL 33626-1732
Phone (813) 547-7050

13610 Bruce B Downs Blvd
Tampa, FL 33613-4650
Phone (813) 977-2777

1838 Rye Rd
Suite 107
Bradenton, FL 34212-9038
Phone (941) 462-2004

26812 US Hwy 19 N
Clearwater, FL 33761-3405
Phone (727) 799-2727

3030 4TH St N
Saint Petersburg, FL 33704-2105
Phone (727) 610-3660

34621 US Hwy 19 N
Palm Harbor, FL 34684-2152
Phone (727) 953-9888

408 E Brandon Blvd
Brandon, FL 33511-5318
Phone (813) 681-5571

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Oct 1, 2023 Accepting new patients
Magnolia Emergency Physicians LLC Physician Assistant Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

2404 US Highway 19
Holiday, FL 34691
Phone (727) 939-8800

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network

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": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1851675615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 CAMPTON CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472048",
            "telephone_number": "352-572-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 CAMPTON CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472048",
            "telephone_number": "352-572-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "JAMIE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.