Individual provider Active NPI

Myanne Ray Hinote, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1215612080
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026711 Issued in FL
Practice address
161 E Nine Mile Rd
Pensacola, FL 32534-3140
Phone
(850) 696-4000
Fax
(850) 434-2647
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11026711 FL Primary

Addresses

Primary practice location

161 E Nine Mile Rd
Pensacola, FL 32534-3140

Mailing address

4724 N Davis Hwy
Pensacola, FL 32503-2339
Phone (850) 696-4000

Other names 1

  • Myanne Ray Light Former name

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
I20230703000072 FL Practitioner - Nurse Practitioner 9032578497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodlands Medical Specialists P aGroup PAC ID 1052469681, 48 clinicians

Practice addresses (Care Compare)

161 E Nine Mile Rd
Pensacola, FL 32534-3140
Phone (850) 696-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Medical Specialists P a CurrentSince Jul 18, 2023 Accepting new patients
Woodlands Medical Specialists P a Past Accepting new patients

Locations

161 E Nine Mile Rd
Pensacola, FL 32534
Phone (239) 432-8500

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

1921 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 479-4791

Interoperability endpoints

  • Direct secure messaging: myanne.hinote@woodlands.ikm.direct-ci.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.

Hospital & facility affiliations 2

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1215612080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032339",
            "telephone_number": "850-696-4000",
            "fax_number": "850-434-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325343140",
            "telephone_number": "850-696-4000",
            "fax_number": "850-434-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINOTE",
        "first_name": "MYANNE",
        "middle_name": "RAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYANNE",
            "last_name": "LIGHT",
            "middle_name": "RAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.