Individual provider Active NPI

Joshua Waddell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1053862862
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11004075 Issued in FL
Practice address
1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone
(850) 469-3500
Fax
(850) 595-1400
NPI assigned
Oct 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11004075 FL Primary

Addresses

Primary practice location

1221 W Lakeview Ave
Pensacola, FL 32501-1836

Mailing address

600 Calle Escada
Santa Rosa Beach, FL 32459-8602
Phone (931) 510-6634

Other practice location 1

3686 US Highway 331 S
Defuniak Springs, FL 32435-8463
Phone (850) 332-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210000191 FL Practitioner - Nurse Practitioner 1254764046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeview Center IncGroup PAC ID 3375439904, 43 clinicians

Practice addresses (Care Compare)

1221 W Lakeview Ave
Pensacola, FL 32501-1857
Phone (850) 908-3907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Center Inc CurrentSince Oct 28, 2019 Accepting new patients
Parkwest Medical Center Past Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

1221 W Lakeview Ave
Pensacola, FL 32501
Phone (850) 469-3500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1053862862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CALLE ESCADA",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598602",
            "telephone_number": "931-510-6634",
            "fax_number": "850-595-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W LAKEVIEW AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011836",
            "telephone_number": "850-469-3500",
            "fax_number": "850-595-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3686 US Highway 331 S",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324358463",
            "country_code": "US",
            "telephone_number": "850-332-6371",
            "fax_number": "850-595-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "JOSHUA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.