Individual provider Active NPI

Jenny Amanda West, ARNP

  • Primary Care Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1174842009
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9248447 Issued in FL
Practice address
2114 Creighton Rd Ste a
Pensacola, FL 32504-7218
Phone
(850) 848-9500
Fax
(850) 901-0009
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9248447 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9248447 FL Primary

Addresses

Primary practice location

2114 Creighton Rd Ste a
Pensacola, FL 32504-7218

Mailing address

2114 Creighton Rd Ste a
Pensacola, FL 32504-7218
Phone (850) 848-9500

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
I20100715000324 FL Practitioner - Nurse Practitioner 7911039680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinova Healthcare LLCGroup PAC ID 1658809074, 6 clinicians

Practice addresses (Care Compare)

2114 Creighton Rd
Pensacola, FL 32504-7218
Phone (850) 332-3740

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
  • Jay Hospital Hospital, Jay, FL, CCN 101315
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinova Healthcare LLC CurrentSince Dec 14, 2024 Accepting new patients
Santa Rosa Hma Physician Management, LLC Nurse Practitioner CurrentSince May 10, 2010 Accepting new patients
Santa Rosa Hma Urgent Care LLC Past Accepting new patients

Locations

4944 Highway 90
Pace, FL 32571
Phone (850) 994-0431

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

Organizations & group practices 3

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 5

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1174842009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 CREIGHTON RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047218",
            "telephone_number": "850-848-9500",
            "fax_number": "850-901-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 CREIGHTON RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047218",
            "telephone_number": "850-848-9500",
            "fax_number": "850-901-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JENNY",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9248447",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9248447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.