Active NPI
Deno Dustin Rolin, MD, DNP, APRN
- Family Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9418362
- Practice address
- 8100 N Davis Hwy
Pensacola, FL 32514 - Phone
- (866) 389-2727
- NPI assigned
- Sep 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | HSE27055 | FL | |
| Family Nurse Practitioner | 363LF0000X | 77877 | KS | |
| Family Nurse Practitioner | 363LF0000X | 3-001006 | AL | |
| Family Nurse Practitioner | 363LF0000X | 9418362 | FL | Primary |
Addresses
Primary practice location
8100 N Davis Hwy
Pensacola, FL 32514
Mailing address
5200 Highway 97
Walnut Hill, FL 32568-2017
Phone (954) 439-8723
Other practice location 1
2331 N State Road 7 Ste 102
Lauderdale Lakes, FL 33313-3771
Phone (954) 439-8723
Other practice location 2
5811 Jack Springs Rd
Atmore, AL 36502-5025
Phone (251) 368-9136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
429 Buford L Rolin Dr
Atmore, AL 36502-5190
Phone 25136891362412
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HSE27055 | FL | MD | General Practice Physician |
| 3-001006 | AL | MD | Family Nurse Practitioner |
| 9418362 | FL | MD | Family Nurse Practitioner |
| 77877 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poarch Band of Creek Indians | Current | Accepting new patients |
Locations
5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/
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.
-
dba Poarch Creek Indian Health Department
- Federally Qualified Health Center (FQHC)
- Atmore, AL
- NPI 1902916489
TX
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atmore Community Hospital
- Rural Acute Care Hospital
- Atmore, AL
- NPI 1124073879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1154840676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HIGHWAY 97",
"city": "WALNUT HILL",
"state": "FL",
"postal_code": "325682017",
"telephone_number": "954-439-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32514",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "2331 N State Road 7 Ste 102",
"address_purpose": "LOCATION",
"city": "Lauderdale Lakes",
"state": "FL",
"postal_code": "333133771",
"country_code": "US",
"telephone_number": "954-439-8723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5811 Jack Springs Rd",
"address_purpose": "LOCATION",
"city": "Atmore",
"state": "AL",
"postal_code": "365025025",
"country_code": "US",
"telephone_number": "251-368-9136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLIN",
"first_name": "DENO",
"middle_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "MD, DNP, APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-15",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "HSE27055",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "77877",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-001006",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9418362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 5, 2023; 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.