KATELYN HART PA-C
NPI 1548067598
Physician Assistant - Surgical in Orlando, FL

Q: What is Katelyn Hart's NPI number?

The NPI number for Katelyn Hart is 1548067598. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Q: What is Katelyn Hart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Hart was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 27, 2025PECOS Enrolled

100 W GORE ST STE 403, ORLANDO, FL 32806(407) 448-4023(321) 843-3570 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2025, Sep 15, 2025, Feb 27, 2025 (3 updates tracked since 2025).

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About Katelyn Hart Pa-c NPPES

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

KATELYN HART PA-C (NPI 1548067598) is an individual surgical provider in Orlando, Florida, licensed in Florida (PA9120828) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548067598

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKATELYN HARTCredential: PA-C

Location Address100 W GORE ST STE 403Orlando, FL 32806-1049

Mailing Address100 W Gore St Ste 403Orlando, FL 32806-1049 · (407) 448-4023 · Fax (321) 843-3570

Phone(407) 448-4023

Fax(321) 843-3570

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 27, 2025

Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1548067598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9120828

100 W GORE ST STE 403, Orlando, FL 32806

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Secondary Practice Location 1

Location 16675 Corporate Center Pkwy Ste 115Jacksonville, FL 32216-8088 · Phone (904) 245-8910

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Hart Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163910514

PECOS Enrollment IDI20251019000039

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.

Other Providers at the Same Location NPPES 9

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

HALEY ELIZABETH STEWART PA-C

Physician Assistant (Medical)