Individual provider Active NPI

Nathanael Christopher Stuck

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1104345263
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA91201517 Issued in FL
Practice address
9400 University Pkwy Ste 101B
Pensacola, FL 32514-5485
Phone
(850) 208-6150
Fax
(850) 916-8700
NPI assigned
Sep 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA91201517 FL Primary

Addresses

Primary practice location

9400 University Pkwy Ste 101B
Pensacola, FL 32514-5485

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 784-0954

Other practice location 1

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-8478

Other practice location 2

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (448) 227-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180519000013 AL Practitioner - Physician Assistant 2769747864 Reassigns benefits to 2 organizations
I20260428001674 FL Practitioner - Physician Assistant 2769747864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA91201517FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Mitchell Cancer Institute CurrentSince Nov 11, 2017 Accepting new patients
University of South Alabama CurrentSince Nov 11, 2017 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 2, 2019 Accepting new patients
Baptist Medical Group LLC PastSince Mar 21, 2026 Accepting new patients
Baptist Medical Group LLC PastSince Mar 21, 2026 Accepting new patients

Locations

1601 Center St
Ste 2S
Mobile, AL 36604
Phone (251) 660-5108

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Organizations & group practices 7

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.

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": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1104345263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-784-0954",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY STE 101B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145485",
            "telephone_number": "850-208-6150",
            "fax_number": "850-916-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Baptist Way",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032254",
            "country_code": "US",
            "telephone_number": "448-227-8478",
            "fax_number": "448-227-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325614884",
            "country_code": "US",
            "telephone_number": "448-227-6330",
            "fax_number": "850-626-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCK",
        "first_name": "NATHANAEL",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-10",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA91201517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.