KALYN BAYLY MACGIBBON (CAA) – Anesthesiologist Assistant, NPI 1194557793

KALYN BAYLY MACGIBBON (CAA) is a healthcare provider. based in Royal palm beach, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. PENDING (FL). The NPI Number for KALYN BAYLY MACGIBBON (CAA) is 1194557793

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KALYN BAYLY MACGIBBON (CAA)
NPI
1194557793
Phone
(561) 398-1652
Address
141 SANTA MONICA AVE
Enumeration Date
14 August 2024
Last Update Date
14 October 2024

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
9549395000
Graduation Year
2024 (2 years ago)
PAC ID
6305379330
Group Practice PAC ID
3476446014
Professional Enrollment ID
I20241030000979
Address ID
FL323084697TA2629XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:1State licenses:2Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for KALYN BAYLY MACGIBBON (CAA)

  • 141 SANTA MONICA AVE

    ROYAL PALM BEACH, FL 334111102

    Phone: (561) 398-1652

    Type: Mailing

  • 1525 W. CYPRESS CREEK RD

    FT. LAUDERDALE, FL 33309

    Phone: (954) 939-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-30

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
I20241030000979IAnesthesiology 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33411)

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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: 3476446014View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

How do payers reference KALYN BAYLY MACGIBBON (CAA)?
For KALYN BAYLY MACGIBBON (CAA), use NPI 1194557793 as the unique 10-digit identifier.
Is there an active status for KALYN BAYLY MACGIBBON (CAA)?
For scheduling context, KALYN BAYLY MACGIBBON (CAA) is shown as active in the registry.
What clinical focus is listed for KALYN BAYLY MACGIBBON (CAA)?
At a glance, KALYN BAYLY MACGIBBON (CAA) is tied to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is KALYN BAYLY MACGIBBON (CAA) located near Royal Palm Beach?
KALYN BAYLY MACGIBBON (CAA) currently maps to Royal Palm Beach, Florida in this extract.
When was this NPI issued?
Enumeration for KALYN BAYLY MACGIBBON (CAA) is noted as August 14, 2024 where the registry provides it.

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