KENDRA M BEATON PA-C
NPI 1205212529
Physician Assistant in St Augustine, FL

Q: What is Kendra Beaton's NPI number?

The NPI number for Kendra Beaton is 1205212529. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Q: What is Kendra Beaton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kendra Beaton was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 10, 2015PECOS EnrolledAccepts Medicare Assignment

84.3/100

CMS Quality Rating

45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 32086(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Oct 4, 2023, May 11, 2023 and 3 more (6 updates tracked since 2023).

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About Kendra M Beaton Pa-c NPPES

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

KENDRA M BEATON PA-C (NPI 1205212529) is an individual physician assistant in St Augustine, Florida, licensed in Florida (PA9109008) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1205212529

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKENDRA M BEATONCredential: PA-C

Location Address45 GROOVER LOOP STE 201St Augustine, FL 32086-6586

Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (623) 241-8678 · Fax (623) 544-5531

Phone(904) 634-0640

Fax(904) 634-0203

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 10, 2015

Last NPPES UpdateJuly 28, 20256 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1205212529 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 · PA9109008

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.

45 GROOVER LOOP STE 201, St Augustine, FL 32086

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Secondary Practice Locations 11

Location 11690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 2216 Southpark Cir ESaint Augustine, FL 32086-5135 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 34565 US Highway 17 Ste 200Fleming Island, FL 32003-4823 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 415255 Max Legget Pkwy Ste 5300Jacksonville, FL 32218-7274 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 5232 Ponte Vedra Park DrPonte Vedra Beach, FL 32082-6600 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 610475 Centurion Pkwy N Ste 220Jacksonville, FL 32256-5004 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 72627 Riverside Ave Ste 300Jacksonville, FL 32204-4717 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 82 Shircliff Way Ste 605Jacksonville, FL 32204-4762 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 9300 Saint Elizabeth Way Ste 310St Johns, FL 32259-1152 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 104268 Oldfield Crossing Dr Ste 201Jacksonville, FL 32223-8800 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 113055 County Road 210 W Ste 110St Johns, FL 32259-7001 · Phone (904) 634-0640 · Fax (904) 634-0203

Other Identifiers 1

Medicaid107982600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendra M Beaton Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991014623

PECOS Enrollment IDI20151021000496

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,020 services152 patients

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

696 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

263 services192 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

180 services132 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

123 services99 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

77 services28 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

26 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

23 services23 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

22 services14 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

21 services21 patients

Limited removal of abnormal shoulder joint tissue using endoscope 29822

This procedure involves the use of a tiny camera, known as an endoscope, to examine and remove abnormal tissue in the shoulder joint. It's a minimally invasive method, which means it requires smaller incisions, reducing recovery time and discomfort.

17 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services16 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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.

84.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.68

Promoting Interoperability

100

Improvement Activities

Cost

60.99

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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.

BRITTYN HAMER PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ASHLEIGH ELIZABETH MAYA PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

MATTHEW MONTGOMERY PA-C

Physician Assistant

45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

AHMED SALEH MD

Orthopaedic Surgery

45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ERIC G KIM DO

Orthopaedic Surgery

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

DR. KURTIS R HORT MD

Orthopaedic Surgery

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

NOLAN A GALL MD

Physical Medicine & Rehabilitation (Pain Medicine)

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ROBERT TALIAFERRO JR. PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

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 Kendra Beaton's NPI number?

The NPI number for Kendra Beaton is 1205212529. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Kendra Beaton located?

Kendra Beaton practices at 45 Groover Loop Ste 201, St Augustine, FL 32086. The listed phone number is (904) 634-0640.

What is Kendra Beaton's specialty?

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

Is Kendra Beaton enrolled in Medicare?

Yes. Kendra Beaton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kendra Beaton accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Kendra Beaton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kendra Beaton affiliated with any hospitals?

According to CMS data, Kendra Beaton is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Kendra Beaton was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.