MRS. KAITLYN ROSE SPRAGUE (PA) – Physician Assistant, NPI 1073009353

MRS. KAITLYN ROSE SPRAGUE (PA) is a healthcare provider. based in West palm beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9111136 (FL). The NPI Number for MRS. KAITLYN ROSE SPRAGUE (PA) is 1073009353

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KAITLYN ROSE SPRAGUE (PA)
NPI
1073009353
Phone
(561) 331-8800
Address
560 VILLAGE BLVD SUIT #150
Enumeration Date
10 July 2018
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613318800
Graduation Year
2017 (9 years ago)
PAC ID
2466798574
Group Practice PAC ID
2961702089
Professional Enrollment ID
I20190110002154
Address ID
FL334146136WE1035XRDXX406
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MRS. KAITLYN ROSE SPRAGUE (PA)

  • 560 VILLAGE BLVD SUIT #150

    WEST PALM BEACH, FL 33409

    Phone: (561) 331-8800

    Type: Mailing

  • 400 S AUSTRALIAN AVE # 422

    WEST PALM BEACH, FL 334015004

    Phone: (561) 331-8800

    Fax: (561) 331-8074

    Type: Mailing

  • Village Boulevard, West Palm Beach, Palm Beach County, Florida, 33409, United States

    WEST PALM BEACH, FL 33409

    Phone: (561) 331-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $378.

Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Alkermes, Inc. ($153).

Total Amount

$378

General + Research + Ownership

Payments

14

Total payment records

General Amount

$378

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190110002154IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes20048$0
90833Psychotherapy with evaluation and management visit, 30 minutes2316$0
View full utilization report →

Insurance plans in this area (ZIP 33409)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961702089View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Clinical Social WorkerFL
P S Y C H I A T R YNY
P S Y C H I A T R YFL
P S Y C H I A T R YFL
Clinical PsychologistNY
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

Where can patients find MRS. KAITLYN ROSE SPRAGUE (PA)'s NPI?
You can confirm MRS. KAITLYN ROSE SPRAGUE (PA) with NPI 1073009353; it appears in the national provider directory.
Is MRS. KAITLYN ROSE SPRAGUE (PA)'s NPI currently valid?
The extract we use shows MRS. KAITLYN ROSE SPRAGUE (PA) as active.
Can you summarize MRS. KAITLYN ROSE SPRAGUE (PA)'s specialty in plain language?
Clinically, the directory lists MRS. KAITLYN ROSE SPRAGUE (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MRS. KAITLYN ROSE SPRAGUE (PA)?
We surface West Palm Beach, Florida for MRS. KAITLYN ROSE SPRAGUE (PA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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