Individual provider Active NPI

Makayla Danielle Kerstiens, PA

  • Physician Assistant
  • Florence, AL
National Provider Identifier
1902431182
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1573 Issued in AL
Practice address
1751 Veterans Dr Ste 205
Florence, AL 35630-4929
Phone
(256) 767-0081
NPI assigned
Mar 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 PA.1573 AL Primary

Addresses

Primary practice location

1751 Veterans Dr Ste 205
Florence, AL 35630-4929

Mailing address

880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone (866) 849-0692

Other practice location 1

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone (866) 849-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200618003160 AL Practitioner - Physician Assistant 5092137133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Wound Care Anywhere, LLCGroup PAC ID 6608302831, 5 clinicians

Practice addresses (Care Compare)

102 Physicians Dr
Suite C
Muscle Shoals, AL 35661-2149
Phone (256) 984-7919

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1573ALMDAthletic Trainer
PA.1573ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC Physician Assistant CurrentSince Oct 3, 2022 Accepting new patients
Wound Care Anywhere, LLC CurrentSince Jan 17, 2026 Accepting new patients

Locations

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

1751 Veterans Dr
Ste 205
Florence, AL 35630
Phone (256) 766-2600

42030 Highway 195
Ste C
Haleyville, AL 35565
Phone (205) 485-7337

102 Physicians Dr
Ste C
Muscle Shoals, AL 35661
Phone (256) 984-7919

523 Gandy St NE
Ste D
Russellville, AL 35653
Phone (256) 766-2118

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": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1902431182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276171",
            "telephone_number": "866-849-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 205",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304929",
            "telephone_number": "256-767-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 SW 145th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330276171",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSTIENS",
        "first_name": "MAKAYLA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.