Active NPI
Desiree Nicolii Statler, PMHNP-BC
- Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11013529
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11013529 | FL | MD | Nurse Practitioner |
| APRN11013529 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Specialty Hospital - Pensacola Inc | Current | 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. | Current | Accepting new patients | |
| Select Specialty Hospital - Pensacola, Inc. | Current | Accepting new patients | |
| Escambia Community Clinics Inc | Past | 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
- 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.
-
dba Elite DNA Therapy Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1316363757
-
dba Select Specialty Hospital - Pensacola
- Long Term Care Hospital
- Pensacola, FL
- NPI 1598964157
-
dba The Terraces at Bonita Springs
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
-
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1518971597
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1215239827
-
dba Select Medical Rehabilitation - Pensacola
- Rehabilitation Hospital Unit
- Pensacola, FL
- NPI 1942919907
-
dba ECC at Waterfront Rescue Mission
- Federally Qualified Health Center (FQHC)
- Pensacola, FL
- NPI 1225469398
-
dba Century Adult Primary Care
- Federally Qualified Health Center (FQHC)
- Century, FL
- NPI 1952822173
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.