NPIMap

Individual provider Active NPI

Tammy G Pruse, DO

  • Family Medicine Physician
  • Pace, FL
National Provider Identifier
1356336812
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 8320 Issued in FL
Practice address
3874 Highway 90 Ste 101
Pace, FL 32571-1014
Phone
(850) 908-2315
Fax
(850) 908-2307
NPI assigned
Sep 12, 2005
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 8320 FL Primary

Addresses

Primary practice location

3874 Highway 90 Ste 101
Pace, FL 32571-1014

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 352-9500

Other practice location 1

2115 W Nine Mile Rd Ste 2
Pensacola, FL 32534-9438
Phone (850) 908-1950

Other practice location 2

9400 University Pkwy
Suite 409
Pensacola, FL 32514-5752
Phone (850) 208-6160

Other practice location 3

1200 Gulf Breeze Pkwy Ste B
Gulf Breeze, FL 32561
Phone (850) 916-3680

Other identifiers 1

IdentifierTypeStateIssuer
264519000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326001053 FL Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1759273402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

9400 University Pkwy
Pensacola, FL 32514-5485
Phone (850) 208-6160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 8320FLMDFamily Medicine Physician
OS8320FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC Family Medicine CurrentSince Oct 15, 2012 Accepting new patients
Baptist Medical Group LLC CurrentSince Oct 15, 2012 Accepting new patients
Baptist Health Care, Inc PastSince Nov 1, 2019 Accepting new patients
Pensacola Primary Care Inc Family Medicine Past Accepting new patients

Locations

1200 Gulf Breeze Pkwy
Ste B
Gulf Breeze, FL 32561
Phone (448) 227-4650

3874 Highway 90
Ste 101
Pace, FL 32571
Phone (448) 227-5045

2115 W Nine Mile Rd
Ste 2
Pensacola, FL 32534
Phone (448) 227-5550

9400 University Pkwy
Ste 210
Pensacola, FL 32514
Phone (448) 227-4240

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1356336812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3874 HIGHWAY 90 STE 101",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711014",
            "telephone_number": "850-908-2315",
            "fax_number": "850-908-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 W Nine Mile Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325349438",
            "country_code": "US",
            "telephone_number": "850-908-1950",
            "fax_number": "850-908-1959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 University Pkwy",
            "address_2": "Suite 409",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325145752",
            "country_code": "US",
            "telephone_number": "850-208-6160",
            "fax_number": "850-208-6169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Gulf Breeze Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "32561",
            "country_code": "US",
            "telephone_number": "850-916-3680",
            "fax_number": "850-916-3689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUSE",
        "first_name": "TAMMY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 8320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264519000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

Verify at the official NPI Registry.