Individual provider Active NPI

Deno Dustin Rolin, MD, DNP, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1154840676
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9418362 Issued in FL
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

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720000011 TX Practitioner - Nurse Practitioner 1850651571 Reassigns benefits to 1 organization

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
Poarch Band of Creek IndiansGroup PAC ID 9830188085, 12 clinicians

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

LicenseStateTypeSpecialty
HSE27055FLMDGeneral Practice Physician
3-001006ALMDFamily Nurse Practitioner
9418362FLMDFamily Nurse Practitioner
77877KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poarch Band of Creek Indians CurrentSince Mar 29, 2023 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.