Individual provider Active NPI

Justine M Kline, P.A.

  • Surgical Physician Assistant
  • Dover, DE
National Provider Identifier
1922434760
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C50000909 Issued in DE
Practice address
103 Wolf Creek Blvd Ste 1
Dover, DE 19901-4967
Phone
(302) 674-2420
Fax
(302) 674-4473
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C50000909 DE Primary

Addresses

Primary practice location

103 Wolf Creek Blvd Ste 1
Dover, DE 19901-4967

Mailing address

1300 S Farmview Dr Apt A38
Dover, DE 19904-7722
Phone (570) 765-1394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20131028001382 DE Practitioner - Physician Assistant 9537394580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dedicated to Women OB-GYN, P.a.Group PAC ID 0446290456, 15 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 320
Dover, DE 19904-3488
Phone (302) 674-0223

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score
88.36 of 100Reported as group
Quality
79.71
Promoting interoperability
100
Improvement activities
40
Cost
81.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C50000909DEMDSurgical Physician 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.

Hospital & facility affiliations 2

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1922434760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S FARMVIEW DR APT A38",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047722",
            "telephone_number": "570-765-1394",
            "fax_number": "302-674-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WOLF CREEK BLVD STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014967",
            "telephone_number": "302-674-2420",
            "fax_number": "302-674-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "JUSTINE",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DE",
            "license": "C50000909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.