Individual provider Active NPI

McKayla Michaud, PA-C

  • Family Medicine Physician
  • Titusville, FL
National Provider Identifier
1992396121
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA9113730 Issued in FL
Practice address
1785 Garden St
Titusville, FL 32796-3221
Phone
(321) 269-9612
Fax
(321) 269-8433
NPI assigned
Jan 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA9113730 FL Primary

Addresses

Primary practice location

1785 Garden St
Titusville, FL 32796-3221

Mailing address

954 Bartlett LN
Rockledge, FL 32955-4004
Phone (321) 269-9612

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
I20210219000591 FL Practitioner - Physician Assistant 8628483948 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9113730FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Family Medicine LLC Family Medicine CurrentSince Feb 20, 2026 Accepting new patients

Locations

1785 Garden St
Titusville, FL 32796
Phone (321) 269-9612

Interoperability endpoints

  • Direct secure messaging: mckayla.michaud.1@24331.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24331/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1992396121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 BARTLETT LN",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554004",
            "telephone_number": "321-269-9612",
            "fax_number": "321-269-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963221",
            "telephone_number": "321-269-9612",
            "fax_number": "321-269-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "MCKAYLA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9113730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.