Individual provider Active NPI

Jessica K Dedge, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1093428385
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11025654 Issued in FL
Practice address
1407 M D LN Ste a
Tallahassee, FL 32308-5349
Phone
(850) 877-0635
Fax
(850) 205-0195
NPI assigned
Jan 2, 2023
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11025654 FL Primary
Registered Nurse 163W00000X RN9374751 FL

Addresses

Primary practice location

1407 M D LN Ste a
Tallahassee, FL 32308-5349

Mailing address

PO Box 1133
Madison, FL 32341-5133

Other practice location 1

261 NW Willie Deas Rd
Madison, FL 32340-4245
Phone (850) 973-7109

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
I20230626002313 FL Practitioner - Nurse Practitioner 1850759663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apalachee Center IncGroup PAC ID 3577556604, 22 clinicians

Practice addresses (Care Compare)

225 SW Sumatra Ave
Madison, FL 32340-1454
Phone (850) 973-5124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9374751FLMDRegistered Nurse
11025654FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apalachee Center, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Apalachee Center Inc CurrentSince Jun 19, 2023 Accepting new patients
Apalachee Center, Inc. Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients
Apalachee Center Inc Past Accepting new patients

Locations

159 12th St
Apalachicola, FL 32320
Phone (850) 653-9744

13888 NW County Road 12
Bristol, FL 32321
Phone (850) 643-2232

43 Oak St
Crawfordville, FL 32327
Phone (850) 926-5900

225 SW Sumatra Ave
Madison, FL 32340
Phone (850) 363-0906

1996 S Jefferson Hwy
Monticello, FL 32344
Phone 8509973958 ext. 7345

1421 S Dixie Hwy
Perry, FL 32348
Phone (850) 584-5613

79 Lasalle Path
Quincy, FL 32351
Phone (850) 875-2422

2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3289

2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243

471 W Tennessee St
Tallahassee, FL 32301
Phone (850) 523-3301

Interoperability endpoints

  • Direct secure messaging: mentallyfreepsychiatry.jessicadedge@160667.advancedmd-direct.com

Organizations & group practices 8

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 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": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1093428385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323415133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 M D LN STE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085349",
            "telephone_number": "850-877-0635",
            "fax_number": "850-205-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 NW Willie Deas Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "FL",
            "postal_code": "323404245",
            "country_code": "US",
            "telephone_number": "850-973-7109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEDGE",
        "first_name": "JESSICA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11025654",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9374751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.