Individual provider Active NPI

Rrita Krasniqi

  • Anatomic Pathology & Clinical Pathology Physician
  • Pensacola, FL
National Provider Identifier
1154940872
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
22293 Issued in FL
Practice address
4900 Bayou Blvd Ste 104
Pensacola, FL 32503-2533
Phone
(866) 697-8378
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 22293 FL Primary

Addresses

Primary practice location

4900 Bayou Blvd Ste 104
Pensacola, FL 32503-2533

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250908002942 FL Practitioner - Pathology 4385146315 Reassigns benefits to 1 organization
I20251014002798 AL Practitioner - Pathology 4385146315

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivid Pathology PAGroup PAC ID 9133106784, 12 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-5201

2600 Hospital Dr
Bonifay, FL 32425-4264
Phone (850) 416-6484

3801 E Hwy 98
Port Saint Joe, FL 32456-5318
Phone (850) 229-5600

4900 Bayou Blvd
Suite 204
Pensacola, FL 32503-2533
Phone (866) 697-8378

5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (850) 416-6484

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 416-6484

7800 US Hwy 98 W
Miramar Beach, FL 32550-7228
Phone (850) 416-6484

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4340ALMDProfessional Counselor
22293FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DW McMillan Memorial Hospital Current Accepting new patients
Vivid Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 28, 2025 Accepting new patients
Vivid Pathology PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
DW McMillan Memorial Hospital Current Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

4900 Bayou Blvd
Ste 104
Pensacola, FL 32503
Phone (850) 477-2330

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 4

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 4

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1154940872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BAYOU BLVD STE 104",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032533",
            "telephone_number": "866-697-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNIQI",
        "first_name": "RRITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "22293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.