Individual provider Active NPI

Derrick S Sammons, ARNP

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1265815336
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9331704 Issued in FL
Practice address
5151 N 9TH Ave
ER
Pensacola, FL 32504-8721
Phone
(850) 416-7000
Fax
(850) 475-4781
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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 ARNP9331704 FL Primary

Addresses

Primary practice location

5151 N 9TH Ave
ER
Pensacola, FL 32504-8721

Mailing address

5576 Oakmont Dr
Pace, FL 32571-8413
Phone (850) 776-3604

Other practice location 1

5576 Oakmont Dr
Pace, FL 32571-8413
Phone (850) 776-3604

Other practice location 2

10040 Hillview Dr
Pensacola, FL 32514-5499
Phone (850) 474-0570

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
I20150914002322 FL Practitioner - Nurse Practitioner 0941517601 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Prevention and Treatment of Infections, P.a.Group PAC ID 0244461168, 3 clinicians
Santa Rosa HB Medical Services LLCGroup PAC ID 4284089335, 35 clinicians

Practice addresses (Care Compare)

10040 Hillview Dr
Pensacola, FL 32514-5499
Phone (850) 474-0570

5147 N 9TH Ave
Suite 322
Pensacola, FL 32504-8710
Phone (850) 439-5681

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

Merit-based Incentive Payment System (MIPS)

Final score
49.22 of 100Reported as group
Quality
8.06
Improvement activities
40
Cost
90.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9331704FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Florida HM, LLC CurrentSince Nov 21, 2018 Accepting new patients
Santa Rosa HB Medical Services LLC CurrentSince Jul 21, 2023 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Jul 1, 2016 Accepting new patients
Turfnurse LLC Family CurrentSince Oct 15, 2018 Accepting new patients
Center for Prevention and Treatment of Infections, P.a. CurrentSince Jun 1, 2024 Accepting new patients
Psgfl MSSP, LLC CurrentSince Jul 28, 2025 Accepting new patients
Robert Lee Harrell III MD PC CurrentSince Jun 3, 2023 Accepting new patients
Paragon Emergency Services LLC CurrentSince Mar 1, 2017 Accepting new patients
Intensive Care Consortium Inc Family CurrentSince Feb 1, 2021 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola CurrentSince Sep 1, 2015 Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

9310 Fowler Ave
Pensacola, FL 32534
Phone (850) 430-0600

5147 N 9th Ave
Ste 322
Pensacola, FL 32504
Phone (850) 439-5681

10040 Hillview Dr
Pensacola, FL 32514
Phone (850) 474-0570

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: derrick.sammons@hca4.eclinicaldirectplus.com

Organizations & group practices 10

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1265815336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 OAKMONT DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718413",
            "telephone_number": "850-776-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "address_2": "ER",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "850-416-7000",
            "fax_number": "850-475-4781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5576 Oakmont Dr",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325718413",
            "country_code": "US",
            "telephone_number": "850-776-3604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10040 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325145499",
            "country_code": "US",
            "telephone_number": "850-474-0570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "DERRICK",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9331704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.