Individual provider Active NPI

Thomasina Waldera, ARNP

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1053894170
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9388566 Issued in FL
Practice address
615 N Bonita Ave
Panama City, FL 32401-3623
Phone
(850) 747-6000
NPI assigned
Sep 13, 2018
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9388566 FL Primary
Emergency Registered Nurse 163WE0003X RN9388566 FL

Addresses

Primary practice location

615 N Bonita Ave
Panama City, FL 32401-3623

Mailing address

320 Laird Dr
Freeport, FL 32439-4625
Phone (850) 714-4613

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
I20181130001915 FL Practitioner - Nurse Practitioner 5890039945 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9388566FLMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Jan 18, 2023 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 22, 2025 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola CurrentSince Nov 1, 2021 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 22, 2025 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Jan 18, 2023 Accepting new patients
Cep America, LLC Current Accepting new patients
Cep America LLC CurrentSince Mar 13, 2024 Accepting new patients
Emerald Coast Management Solutions LLC CurrentSince Dec 24, 2025 Accepting new patients
Cep America LLC CurrentSince Mar 13, 2024 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Aug 20, 2025 Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

11111 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 236-8921

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1053894170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LAIRD DR",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324394625",
            "telephone_number": "850-714-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BONITA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013623",
            "telephone_number": "850-747-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDERA",
        "first_name": "THOMASINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9388566",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9388566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.