Jessica Register Ludwig, ARNP
Individual provider Active NPI Family Nurse Practitioner · Bonifay, FL
NPI 1346589629 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1346589629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9248471 (FL)
- Practice address
- 3120 Southride Lane
Bonifay, FL 32425 - Phone
- (850) 547-4440
- NPI assigned
- Feb 6, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150508002083 | FL | Practitioner - Nurse Practitioner | 2365669884 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vivid Pathology PA | Current | Accepting new patients | |
| The Pathology Group of Northwest Florida PLLC | Current | Accepting new patients | |
| Holmes County Hospital Corp | Current |
Accepting new patients | |
| Holmes County Hospital Corp | Family | Current |
Accepting new patients |
| Hawkins Family Medicine LLC | Current |
Accepting new patients |
Locations
3120 Southride Ln
Bonifay, FL 32425
Phone (850) 547-4440
2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9248471 | FL | Yes |
Addresses
Primary practice location
3120 Southride Lane
Bonifay, FL 32425
Mailing address
3120 Southride Lane
Bonifay, FL 32425
Phone (850) 547-4440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009084600 | Medicaid | FL |
Other providers in Bonifay, FL
- Misty Kolmetz
- Holly Langford
- Karen Leitner
- Life Management Center of Northwest Florida Inc
- Elizabeth H Lolley
- Janet L Lupher
- Julia Manners-Morales
- Monica Martin
- Gina C Martinelli
- Emery Shyanne Mayo
All providers in Bonifay, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.