Individual provider Active NPI

Maci Herman, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1114760923
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11033477 Issued in FL
Practice address
7679 Mobile Hwy
Pensacola, FL 32526-4207
Phone
(850) 499-4279
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11033477 FL Primary

Addresses

Primary practice location

7679 Mobile Hwy
Pensacola, FL 32526-4207

Mailing address

7679 Mobile Hwy
Pensacola, FL 32526-4207
Phone (850) 499-4279

Other practice location 1

1118 Gulf Breeze Pkwy Ste 201
Gulf Breeze, FL 32561-7803
Phone (850) 308-7278

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
I20240808003941 FL Practitioner - Nurse Practitioner 2961949805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute OBGYN LLCGroup PAC ID 0941561864, 5 clinicians

Practice addresses (Care Compare)

1118 Gulf Breeze Pkwy
Suite 201
Gulf Breeze, FL 32561-7803
Phone (850) 916-7766

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033477FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute OBGYN LLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

1118 Gulf Breeze Pkwy
Ste 201
Gulf Breeze, FL 32561
Phone (850) 916-1872

7552 Navarre Pkwy
Unit 18
Navarre, FL 32566
Phone (850) 916-7766

4554 E Highway 20
Niceville, FL 32578
Phone (850) 279-6267

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJACBD/Endpoint/FJACBD

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.

Hospital & facility affiliations 2

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1114760923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7679 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325264207",
            "telephone_number": "850-499-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7679 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325264207",
            "telephone_number": "850-499-4279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 Gulf Breeze Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325617803",
            "country_code": "US",
            "telephone_number": "850-308-7278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "MACI",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11033477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.