KENDRA JEAN PRIMAVERA PA-C
NPI 1457004889
Physician Assistant in Boca Raton, FL

Q: What is Kendra Primavera's NPI number?

The NPI number for Kendra Primavera is 1457004889. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Q: What is Kendra Primavera'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 Primavera was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2022PECOS EnrolledAccepts Medicare Assignment

670 GLADES RD STE 200, BOCA RATON, FL 33431(561) 495-9511 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2026, Dec 14, 2023, Jan 26, 2022 (3 updates tracked since 2022).

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About Kendra Jean Primavera Pa-c NPPES

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

KENDRA JEAN PRIMAVERA PA-C (NPI 1457004889) is an individual physician assistant in Boca Raton, Florida, licensed in Florida (PA9117930) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457004889

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKENDRA JEAN PRIMAVERACredential: PA-C

Location Address670 GLADES RD STE 200Boca Raton, FL 33431-6464

Mailing Address670 Glades Rd Ste 200Boca Raton, FL 33431-6464 · (561) 495-9511 · Fax (561) 990-7426

Phone(561) 495-9511

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 26, 2022

Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1457004889 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 · PA9117930

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.

670 GLADES RD STE 200, Boca Raton, FL 33431

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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 Jean Primavera 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 ID6305292145

PECOS Enrollment IDI20231030003694

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 11

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.

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.

203 services158 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

176 services176 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

155 services111 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.

132 services116 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 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.

63 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100073

Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Emergency services

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100168

Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33431 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES 12

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

BOCA SPINE AND PAIN INSTITUTE PLLC

Clinic/Center (Multi-Specialty)