Active NPI
Brettanie Nicole Smidt, FNP-C
- Registered Nurse
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9477609
- Practice address
- 1400 N Palafox St
Pensacola, FL 32501-2643 - Phone
- (850) 444-9449
- NPI assigned
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11035360 | FL | |
| Registered Nurse | 163W00000X | RN9477609 | FL | Primary |
Addresses
Primary practice location
1400 N Palafox St
Pensacola, FL 32501-2643
Mailing address
10175 Crest Ridge Dr
Pensacola, FL 32514-2616
Phone (928) 399-9916
Other names 1
- Brettanie Nicole Block
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
Enrollment records 1
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
Practice addresses (Care Compare)
2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630
6671 Caroline St
Milton, FL 32570-4781
Phone (850) 891-9433
Hospital & facility affiliations
- Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9477609 | FL | MD | Registered Nurse |
| APRN11035360 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Escambia Community Clinics, Inc | Current | Accepting new patients | |
| Escambia Community Clinics Inc | Current | Accepting new patients | |
| Escambia Community Clinics Inc | Current | Accepting new patients | |
| Regional Healthcare Group LLC | Current | Accepting new patients | |
| Guardian Biologics LLC | Current | Accepting new patients | |
| Escambia Community Clinics, Inc | Past | Accepting new patients |
Locations
6021 Industrial Blvd
Century, FL 32535
Phone (850) 724-4064
6671 Caroline St
Milton, FL 32570
Phone (850) 564-7722
5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433
350 W Herman St
Pensacola, FL 32505
Phone (850) 332-5900
1400 N Palafox St
Pensacola, FL 32501
Phone (850) 444-9449
2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1518971597
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1841487634
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1629789466
-
- Specialist
- Mount Juliet, TN
- NPI 1033890876
-
- Federally Qualified Health Center (FQHC)
- Milton, FL
- NPI 1689864035
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1124854609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10175 CREST RIDGE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325142616",
"telephone_number": "928-399-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N PALAFOX ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325012643",
"telephone_number": "850-444-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIDT",
"first_name": "BRETTANIE",
"middle_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11035360",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9477609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRETTANIE",
"last_name": "BLOCK",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.