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Active NPI 1043651847 Individual Practitioner Female Practitioner

Katlin P Shi , PA-C

Physician Assistant • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Katlin Shi, PA-C is a registered healthcare professional specializing in Physician Assistant in Jacksonville, FL. Practice services are available at 1 SHIRCLIFF WAY under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Shircliff Way
St. Vincent's Riverside Emergency Room

Jacksonville, FL 322044748

Telephone 9043087300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
13 13 $948.00 $149.91

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA - 9109389

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Allen , NP

Nurse Practitioner - Critical Care Medicine

NPI 1003748054

Nurse Practitioner

Dr. Paul Lucey , MD

Emergency Medicine

NPI 1013959709

Doctor of Medicine (M.D.)

Dr. Wilbur Augenstein , MD

Emergency Medicine - Emergency Medical Services

NPI 1013975507

Doctor of Medicine (M.D.)

Dr. Zachary Brown , MD

Radiology - Diagnostic Radiology

NPI 1023212214

Doctor of Medicine (M.D.)

Dr. Chanel Wood , MD

Radiology - Diagnostic Radiology

NPI 1023544830

Doctor of Medicine (M.D.)

Tabitha Shepherd , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023833555

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2016

Registered at 1 SHIRCLIFF WAY, ST. VINCENT'S RIVERSIDE EMERGENCY ROOM, JACKSONVILLE, FL 322044748 (Tel: 9043087300)

📍
Updated Business Mailing Address September 14, 2016

Registered at 1 SHIRCLIFF WAY, ST. VINCENT'S RIVERSIDE EMERGENCY ROOM, JACKSONVILLE, FL 322044748 (Tel: 9043087300)

👤
Provider Name / Credentials Updated September 14, 2016

Recorded as KATLIN SHI, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2016

Physician Assistant (License #PA - 9109389 in FL)

🟢
Initial NPI Registration & Enumeration July 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043651847
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2013
Last Update: September 14, 2016
Sole Proprietor: No

Mailing Address

1 Shircliff Way, St. Vincent's Riverside Emergency Room

Jacksonville, FL 322044748

Phone: 9043087300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.