Individual provider Active NPI

Kaitlin Saults, PA

  • Physician Assistant
  • Tallahassee, FL
National Provider Identifier
1861143125
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9115494 Issued in FL
Practice address
3652 Mahan Dr
Tallahassee, FL 32308-5626
Phone
(850) 329-8429
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 9115494 FL Primary

Addresses

Primary practice location

3652 Mahan Dr
Tallahassee, FL 32308-5626

Mailing address

2131 E Dellview Dr
Tallahassee, FL 32303-4866
Phone (850) 241-6018

Other practice location 1

1690 N Monroe St
Tallahassee, FL 32303-5533
Phone (850) 385-2222

Other names 1

  • Kaitlin Lammert 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
I20220208000113 FL Practitioner - Physician Assistant 3072906460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patients First Lake Ella Medical Center P aGroup PAC ID 4082760566, 23 clinicians

Practice addresses (Care Compare)

1690 N Monroe St
Tallahassee, FL 32303-5533
Phone (850) 385-2222

2351 Crawfordville Hwy
Crawfordville, FL 32327-1037
Phone (850) 888-0084

3258 N Monroe St
Tallahassee, FL 32303-2822
Phone (850) 562-2010

3446 Thomasville Rd
Tallahassee, FL 32309-3424
Phone (850) 386-2266

3652 Mahan Dr
Tallahassee, FL 32308-5626
Phone (850) 329-8429

Merit-based Incentive Payment System (MIPS)

Final score
50.88 of 100Reported as group
Quality
48.24
Promoting interoperability
0
Improvement activities
30
Cost
83.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9115494FLMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1861143125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 E DELLVIEW DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034866",
            "telephone_number": "850-241-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085626",
            "telephone_number": "850-329-8429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323035533",
            "country_code": "US",
            "telephone_number": "850-385-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAULTS",
        "first_name": "KAITLIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9115494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "LAMMERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.