Individual provider Active NPI

Sonila Musta-Kina, PA-C

  • Medical Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1992178719
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109193 Issued in FL
Practice address
1633 Race Track Rd Ste 101
Jacksonville, FL 32259-3237
Phone
(904) 230-6988
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109193 FL Primary

Addresses

Primary practice location

1633 Race Track Rd Ste 101
Jacksonville, FL 32259-3237

Mailing address

1633 Race Track Rd Ste 101
Jacksonville, FL 32259-3237
Phone (904) 230-6988

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
I20160217000953 FL Practitioner - Physician Assistant 9234434911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

4205 Belfort Rd
Jacksonville, FL 32216-1471
Phone (904) 296-0278

Hospital & facility affiliations

  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avecina Medical PA CurrentSince Sep 19, 2017 Accepting new patients
Avecina Medical, PA CurrentSince Sep 19, 2017 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 15, 2025 Accepting new patients
Avecina Medical PA Past Accepting new patients

Locations

2332 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-2540

4205 Belfort Rd
Ste 3075
Jacksonville, FL 32216
Phone (904) 296-5785

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

4160 Southside Blvd
Ste 10
Jacksonville, FL 32216
Phone (904) 900-1717

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

Interoperability endpoints

  • Direct secure messaging: sonila.musta-kina.1@8967.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1992178719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 RACE TRACK RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593237",
            "telephone_number": "904-230-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 RACE TRACK RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593237",
            "telephone_number": "904-230-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTA-KINA",
        "first_name": "SONILA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.