Individual provider Active NPI

Desiree Nicolii Statler, PMHNP-BC

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1245800226
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11013529 Issued in FL
Practice address
1115 E Gonzalez St
Pensacola, FL 32503-6050
Phone
(239) 690-6906
Fax
(850) 483-1146
NPI assigned
Jun 30, 2021
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 11013529 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11013529 FL

Addresses

Primary practice location

1115 E Gonzalez St
Pensacola, FL 32503-6050

Mailing address

1115 E Gonzalez St
Pensacola, FL 32503-6050
Phone (239) 690-6906

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
I20220127000395 FL Practitioner - Nurse Practitioner 0840682738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1115 E Gonzalez St
Pensacola, FL 32503-6050
Phone (833) 362-7935

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013529FLMDNurse Practitioner
APRN11013529FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital - Pensacola Inc CurrentSince Oct 13, 2021 Accepting new patients
Dna Comprehensive Therapy Services, LLC Current Accepting new patients
Escambia Community Clinics Inc Current Accepting new patients
Select Specialty Hospital - Pensacola Inc Current Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Nov 11, 2025 Accepting new patients
Select Specialty Hospital - Pensacola, Inc. CurrentSince Oct 13, 2021 Accepting new patients
Escambia Community Clinics Inc PastSince Aug 15, 2021 Accepting new patients
Escambia Community Clinics Inc Past Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

6671 Caroline St
Milton, FL 32570
Phone (850) 564-7722

1115 E Gonzalez St
Pensacola, FL 32503
Phone (850) 483-1145

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

7000 Cobble Crk
Pensacola, FL 32504
Phone (850) 377-5938

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: desiree.statler@chnf.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1245800226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E GONZALEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036050",
            "telephone_number": "239-690-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E GONZALEZ ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036050",
            "telephone_number": "239-690-6906",
            "fax_number": "850-483-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATLER",
        "first_name": "DESIREE",
        "middle_name": "NICOLII",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013529",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.