Active NPI
Abode Care Partners Al VB, LLC
- Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1386413607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ABODE CARE PARTNERS AL VB, LLC
- Practice address
- 4400 Bayou Blvd Ste 54a
Pensacola, FL 32503-1909 - Phone
- (800) 807-6555
- Fax
- (855) 316-2999
- NPI assigned
- Dec 28, 2023
- Last updated
- Jun 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Brown
- Title
- Secretary
- Phone
- (502) 394-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
4400 Bayou Blvd Ste 54a
Pensacola, FL 32503-1909
Mailing address
805 N Whittington Pkwy Ste 400
Louisville, KY 40222-7102
Phone (502) 394-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240219001730 | FL | Part B Supplier - Clinic/Group Practice | 1658403704 |
Receives reassigned benefits from 22 practitioners Practice locations: Pensacola, FL |
Other NPIs with the same Medicare PAC ID 12
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Family Nurse Practitioner
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-
- Acute Care Nurse Practitioner
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- NPI 1528693983
Single Specialty
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- Emergency Medicine Physician
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- NPI 1225297120
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- Primary Care Nurse Practitioner
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- NPI 1497367403
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- Physician Assistant
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- NPI 1992715072
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- Family Nurse Practitioner
- Jacksonville, FL
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- Family Medicine Physician
- Orange Park, FL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1386413607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N WHITTINGTON PKWY STE 400",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402227102",
"telephone_number": "502-394-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BAYOU BLVD STE 54A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325031909",
"telephone_number": "800-807-6555",
"fax_number": "855-316-2999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABODE CARE PARTNERS AL VB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-28",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "502-394-2100"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"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 Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.