CMS-1500 Box 24J / 33a • NPI
1205212529
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
45 GROOVER LOOP STE 201, ST AUGUSTINE, FL, 32086-6586
✓ 9-Digit EDI 837 ZIP+4 (32086-6586)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1205212529 (KENDRA M BEATON, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1205212529)
Medicare Beneficiaries
285
Total Billed Services
2,765
Distinct CPT/HCPCS Codes
33
Medicare Allowed Total
$72,821.22
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20610 | Aspiration and/or injection of fluid from large joint | 77 |
20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 180 |
23472 | Prosthetic repair of shoulder joint, total shoulder | 13 |
29822 | Limited removal of abnormal shoulder joint tissue using endoscope | 17 |
29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 21 |
29827 | Repair of shoulder rotator cuff using an endoscope | 26 |
29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 23 |
73030 | X-ray of shoulder, minimum of 2 views | 123 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Meloxicam Meloxicam | 16 | <11 |
| Methylprednisolone Methylprednisolone | 15 | 13 |
| Oxycodone Hcl Oxycodone Hcl | 71 | 50 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 44 | 30 |
| Tramadol Hcl Tramadol Hcl | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1205212529 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KENDRA M BEATON, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 45 GROOVER LOOP STE 201, ST AUGUSTINE, FL, 32086-6586 |
| Practice Telephone / Fax | Tel: (904) 634-0640 | Fax: (904) 634-0203 |
| Administrative Mailing Address | 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL, 32216-8203 |
| Enumeration & Last Sync | Enumerated: 2015-08-10 | CMS Record Updated: 2025-07-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in ST AUGUSTINE
🔒 Are you KENDRA M BEATON, PA-C? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KENDRA M BEATON, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: FL | License: Verified | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: FL | License: PA9109008 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.