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

Katie A Radcliff

Individual provider Physician Assistant · NPI 1346714128

Katie A Radcliff is a Physician Assistant in Gainesville, Florida. Qualified in 2018, 8 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

6716 NW 11th Pl Ste 200
Gainesville, FL 32605-4201
Phone: (352) 331-9729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111953 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1346714128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2019
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address6716 Nw 11th Pl Ste 200, Gainesville, FL 32605-4201

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Gainesville