Active NPI
Alexcia Dawn Pennell, CNM, FNP-C
- Advanced Practice Midwife
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11021829
- Practice address
- 1046 Mar Walt Dr # 200
Fort Walton Beach, FL 32547-6645 - Phone
- (850) 243-2229
- NPI assigned
- Mar 11, 2015
- Last updated
- Jan 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN11021829 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN11021829 | FL |
Addresses
Primary practice location
1046 Mar Walt Dr # 200
Fort Walton Beach, FL 32547-6645
Mailing address
1046 Mar Walt Dr # 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1046 Mar Walt Dr
Suite 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229
550 Redstone Ave W
Suite 490
Crestview, FL 32536-6457
Phone (850) 689-8321
550 Redstone W Ave
Crestview, FL 32536-6457
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632 | NC | MD | Acupuncturist |
| APRN11021829 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Health FL P.a. | Family | Current | Accepting new patients |
| North Okaloosa Clinic Corp | Current | Accepting new patients | |
| North Okaloosa Clinic Corp | Current | Accepting new patients | |
| Absolute OBGYN LLC | Past | Accepting new patients |
Locations
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
400 Redstone Ave W
Crestview, FL 32536
Phone (850) 683-1555
550 Redstone Ave W
Crestview, FL 32536
Phone (850) 306-2552
550 Redstone Ave W
Ste 470
Crestview, FL 32536
Phone (850) 689-2223
1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229
1507 Merchants Way
Ste A
Niceville, FL 32578
Phone (850) 897-3600
330 Franklin Rd
Ste 135A
Brentwood, TN 37027
Phone (615) 727-0177
Interoperability endpoints
- alexcia.pennell.1@1523.direct.athenahealth.com
- https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
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.
-
- Internal Medicine Physician
- Crestview, FL
- NPI 1659329852
-
- Durable Medical Equipment & Medical Supplies
- Crestview, FL
- NPI 1477738896
-
- Obstetrics & Gynecology Physician
- Gulf Breeze, FL
- NPI 1801301122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1407249691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 MAR WALT DR # 200",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476645",
"telephone_number": "850-243-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 MAR WALT DR # 200",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476645",
"telephone_number": "850-243-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNELL",
"first_name": "ALEXCIA",
"middle_name": "DAWN",
"credential": "CNM, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11021829",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11021829",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
- Joanna Peets, FNP-C
- Suzanne Nicole Pekarek, LMSW
- Cheryl Dianne Penas, ARNP
- Erin Pendleton
- Katelyn Colbie Pendleton
- Pensacola Care Inc. (Fort Walton Beach Developmental Center)
- Pensacola Nephrology, PA (Renalus Center for Kidney Care)
- Pensacola Nephrology, PA (Renalus Center for Kidney Care)
- Joel Perez-Nunez, FNP
- Kimberly Perez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.