Individual provider Active NPI

Gabriella Jones

  • Family Nurse Practitioner
  • Crestview, FL
National Provider Identifier
1396696266
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11045335 Issued in FL
Practice address
210 S Main St
Crestview, FL 32536-3737
Phone
(850) 226-6801
NPI assigned
Feb 6, 2026
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 11045335 FL Primary

Addresses

Primary practice location

210 S Main St
Crestview, FL 32536-3737

Mailing address

706 Denise Dr
Crestview, FL 32536-5410

Other practice location 1

5111 N 12th Ave
Pensacola, FL 32504-8918
Phone (850) 226-6801

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
I20260224004443 FL Practitioner - Nurse Practitioner 4587145826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Pain and Wellness LLCGroup PAC ID 8527364058, 29 clinicians

Practice addresses (Care Compare)

210 S Main St
Crestview, FL 32536-3737
Phone (850) 226-6801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11045335FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Pain & Wellness LLC CurrentSince Feb 16, 2026 Accepting new patients
Dynamic Pain & Wellness LLC CurrentSince Feb 16, 2026 Accepting new patients

Locations

210 S Main St
Crestview, FL 32536
Phone (850) 306-3433

930 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 331-2930

930 Mar Walt Dr
Unit C
Fort Walton Beach, FL 32547
Phone (850) 431-6183

6044 Doctors Park
Milton, FL 32570
Phone (786) 655-0529

5111 N 12th Ave
Pensacola, FL 32504
Phone (850) 291-7641

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1396696266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DENISE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363737",
            "telephone_number": "850-226-6801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 N 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048918",
            "country_code": "US",
            "telephone_number": "850-226-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "GABRIELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11045335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.