MRS. KATHERINE WILEY POINDEXTER PA-C, RDN
NPI 1538673058
Dermatology in Jacksonville, FL

Q: What is Katherine Poindexter's NPI number?

The NPI number for Katherine Poindexter is 1538673058. It was assigned to this individual provider in the NPPES registry on November 20, 2017. The provider is also known as Katherine Margaret Wiley.

Q: What is Katherine Poindexter's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since November 20, 2017PECOS Enrolled

96.3/100

CMS Quality Rating

2804 SAINT JOHNS BLUFF RD S STE 109, JACKSONVILLE, FL 32246(904) 727-9123 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2020, Mar 17, 2018, Nov 20, 2017 (3 updates tracked since 2017).

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About Mrs. Katherine Wiley Poindexter Pa-c, Rdn NPPES

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

MRS. KATHERINE WILEY POINDEXTER PA-C, RDN (NPI 1538673058) is an individual dermatology provider in Jacksonville, Florida, licensed in Florida (PA9110905) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538673058

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameMRS. KATHERINE WILEY POINDEXTERCredential: PA-C, RDN

Location Address2804 SAINT JOHNS BLUFF RD S STE 109Jacksonville, FL 32246-3777

Mailing Address2346 Jose Cir SJacksonville, FL 32217-3547 · (404) 290-1456

Phone(904) 727-9123

Sole ProprietorNo

Enumeration DateNovember 20, 2017

Last NPPES UpdateJuly 21, 20203 updates tracked since enumeration

NPPES CertifiedJuly 21, 2020

✔ NPI 1538673058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in FL · PA9110905

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License ND7238 (FL), LD004401 (GA)

2804 SAINT JOHNS BLUFF RD S STE 109, Jacksonville, FL 32246

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Other Names 1

Former Name (1)Katherine Margaret Wiley

Secondary Practice Locations 2

Location 1183 Landrum Ln Ste 201Ponte Vedra Beach, FL 32082-3838 · Phone (904) 567-1050

Location 21246 Morvenwood RdJacksonville, FL 32207-5364 · Phone (404) 290-1456

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. Katherine Wiley Poindexter Pa-c, Rdn 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 32246 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.

96.3/100

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

Scored as part of a group practice

Quality

92.61

Improvement Activities

Other Providers at the Same Location NPPES 5

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

HECTOR GONZALEZ MPAS

Physician Assistant (Medical)