Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Yancey, RD, PA

Individual provider Registered Dietitian · NPI 1053087114

Kathleen Yancey, RD, PA is a Physician Assistant in Orange Park, Florida. Qualified in 2021, 5 years ago. Practices with Park Avenue Dermatology PA, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

906 Park Ave
Orange Park, FL 32073-4120
Phone: (904) 541-0315
Fax: (904) 541-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 929 Ironridge Ct, Orange Park, FL 32065-5747 — (904) 614-0670

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115044 (FL)
Registered Dietitian Taxonomy 133V00000X · Licence ND7019 (FL)

Record details

NPI number1053087114
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , PA
Sole proprietorNo
NPI enumeratedAugust 19, 2021
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Park Avenue Dermatology Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients583
Services billed 2,038 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $1,025 56 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Park Avenue Dermatology PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 13 clinicians in the practice; 11 are shown here.

Other providers in Orange Park