Individual provider Active NPI

Jonathan Aspinwall, ARNP

  • Acute Care Nurse Practitioner
  • Crestview, FL
National Provider Identifier
1063804722
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9294295 Issued in FL
Practice address
369 N Main St
Uite a
Crestview, FL 32536-3541
Phone
(850) 398-6963
Fax
(850) 398-8277
NPI assigned
Mar 4, 2015
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9294295 FL Primary

Addresses

Primary practice location

369 N Main St
Uite a
Crestview, FL 32536-3541

Mailing address

55 Oakridge Way
Defuniak Springs, FL 32433-8168
Phone (850) 682-7212

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
I20150615000950 FL Practitioner - Nurse Practitioner 3476864661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Medical Center of Crestview PAGroup PAC ID 2264518943, 7 clinicians

Practice addresses (Care Compare)

369 N Main St
Crestview, FL 32536-3541
Phone (850) 398-6963

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Medical Center of Crestview, PA CurrentSince Feb 10, 2016 Accepting new patients

Locations

369 N Main St
Crestview, FL 32536
Phone (850) 398-6963

369 N Main St
#A
Crestview, FL 32536
Phone (850) 398-6963

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJIDAA
  • Direct secure messaging: jonathan.aspinwall@msmc.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1063804722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OAKRIDGE WAY",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324338168",
            "telephone_number": "850-682-7212",
            "fax_number": "850-682-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 N MAIN ST",
            "address_2": "UITE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363541",
            "telephone_number": "850-398-6963",
            "fax_number": "850-398-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASPINWALL",
        "first_name": "JONATHAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9294295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.