Individual provider Active NPI

Stacy Lynn Kehl, ARNP

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1083963359
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3183012 Issued in FL
Practice address
8406 Panama City Beach Pkwy Ste K
Panama City Beach, FL 32407-4866
Phone
(850) 990-3878
NPI assigned
Sep 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3183012 FL Primary

Addresses

Primary practice location

8406 Panama City Beach Pkwy Ste K
Panama City Beach, FL 32407-4866

Mailing address

8406 Panama City Beach Pkwy Ste K
Panama City Beach, FL 32407-4866
Phone (850) 990-3878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2021 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3183012FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Wave Emergency Physicians LLC Past Accepting new patients
Bayne Jones Army Community Hospital PastSince Mar 29, 2020 Accepting new patients

Organizations & group practices 2

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": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1083963359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 PANAMA CITY BEACH PKWY STE K",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074866",
            "telephone_number": "850-990-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 PANAMA CITY BEACH PKWY STE K",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074866",
            "telephone_number": "850-990-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHL",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3183012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.