Active NPI
Debra Ann Fickling, FNP-C
- Family Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1184196669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11000399
- Practice address
- 6470 Tippin Ave
Pensacola, FL 32504-8143 - Phone
- (850) 741-2878
- NPI assigned
- Dec 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11000399 | FL | Primary |
Addresses
Primary practice location
6470 Tippin Ave
Pensacola, FL 32504-8143
Mailing address
6470 Tippin Ave
Pensacola, FL 32504-8143
Phone (850) 741-2878
Other names 1
- Mrs. Debra Ann Fickling
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6470 Tippin Ave
Pensacola, FL 32504-8143
Phone 8507412878101
Hospital & facility affiliations
- Baptist Hospital
- Sacred Heart Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11000399 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceland Family Practice | Current | Accepting new patients | |
| Grace Family Practice | Current | Accepting new patients |
Locations
6470 Tippin Ave
Pensacola, FL 32504
Phone (850) 741-2878
Interoperability endpoints
- debra.fickling.1@30404.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1932708617
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1881293587
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1184196669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6470 TIPPIN AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048143",
"telephone_number": "850-741-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6470 TIPPIN AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048143",
"telephone_number": "850-741-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICKLING",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-21",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11000399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "FICKLING",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "APRN FNP-C",
"code": "2",
"type": "Professional 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 Oct 29, 2020; 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.