Individual provider Active NPI

Ginny Rebecca Everton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Niceville, FL
National Provider Identifier
1083589774
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11042806 Issued in FL
Practice address
4591 E Highway 20 Ste 202
Niceville, FL 32578-8845
Phone
(850) 899-2233
Fax
(850) 520-9005
NPI assigned
Oct 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 APRN11042806 FL Primary

Addresses

Primary practice location

4591 E Highway 20 Ste 202
Niceville, FL 32578-8845

Mailing address

4591 E Highway 20 Ste 202
Niceville, FL 32578-8845
Phone (850) 899-2233

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
I20260518001927 FL Practitioner - Nurse Practitioner 1355810573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Breeze Counseling, PLLCGroup PAC ID 2466811344, 4 clinicians

Practice addresses (Care Compare)

4591 E Hwy 20
Suite 2021
Niceville, FL 32578-8844
Phone (850) 333-6828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11042806FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Breeze Counseling, PLLC CurrentSince Apr 5, 2026 Accepting new patients

Locations

4591 E Highway 20
Ste 2021
Niceville, FL 32578
Phone (850) 333-6828

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1083589774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 E HIGHWAY 20 STE 202",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788845",
            "telephone_number": "850-899-2233",
            "fax_number": "850-520-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 E HIGHWAY 20 STE 202",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788845",
            "telephone_number": "850-899-2233",
            "fax_number": "850-520-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERTON",
        "first_name": "GINNY",
        "middle_name": "REBECCA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11042806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.