MRS. KATLIN P SHI PAC
NPI 1043651847
Physician Assistant in Jacksonville, FL

Active since July 10, 2013PECOS Enrolled
89.55/100
CMS Quality Rating
1 SHIRCLIFF WAY, ST. VINCENT'S RIVERSIDE EMERGENCY ROOM, JACKSONVILLE, FL 32204(904) 308-7300 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Katlin P Shi Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATLIN P SHI PAC (NPI 1043651847) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA - 9109389) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043651847
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KATLIN P SHICredential: PAC
Location Address1 SHIRCLIFF WAY, ST. VINCENT'S RIVERSIDE EMERGENCY ROOMJacksonville, FL 32204-4748
Mailing Address1 Shircliff Way, St. Vincent's Riverside Emergency RoomJacksonville, FL 32204-4748 · (904) 308-7300
Sole ProprietorNo
Enumeration DateJuly 10, 2013
Last NPPES UpdateSeptember 14, 2016
NPI 1043651847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA - 9109389
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1 SHIRCLIFF WAY, Jacksonville, FL 32204

Other Names 1

Former Name (1)Miss Jessica Katlin Palmer

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Katlin P Shi Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katlin Shi's NPI number?

The NPI number for Katlin Shi is 1043651847. It was assigned to this individual provider in the NPPES registry on July 10, 2013. The provider is also known as Miss Jessica Katlin Palmer.

Where is Katlin Shi located?

Katlin Shi practices at 1 Shircliff Way St. Vincent's Riverside Emergency Room, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is Katlin Shi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katlin Shi enrolled in Medicare?

Yes. Katlin Shi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katlin Shi was last updated on September 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.