Individual provider Active NPI

Katie Lynn Cain, APRN

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1407697063
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11033309 Issued in FL
Practice address
1619 Creighton Rd
Pensacola, FL 32504-7152
Phone
(850) 444-4700
Fax
(850) 444-7897
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3-001802 AL
Nurse Practitioner 363L00000X 11033309 FL Primary

Addresses

Primary practice location

1619 Creighton Rd
Pensacola, FL 32504-7152

Mailing address

PO Box 11037
Pensacola, FL 32524-1037
Phone (850) 444-4700

Other practice location 1

401 Medical Park Dr
Atmore, AL 36502-3006
Phone (850) 444-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240620000762 AL Practitioner - Nurse Practitioner 7719312297 Reassigns benefits to 1 organization
I20240620003089 FL Practitioner - Nurse Practitioner 7719312297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Nephrology PAGroup PAC ID 7214832856, shared by 2 NPIs, 37 clinicians

Practice addresses (Care Compare)

1121 Belleview Ave
Brewton, AL 36426-1500
Phone (850) 444-4700

1619 Creighton Rd
Suite 1
Pensacola, FL 32504-7152
Phone (850) 444-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033309FLMDNurse Practitioner
3-001802ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Nephrology, PA CurrentSince Aug 1, 2024 Accepting new patients
Pensacola Nephrology, PA CurrentSince Aug 1, 2024 Accepting new patients
Fresenius Vascular Care Pensacola LLC Past Accepting new patients
Pensacola Nephrology, PA Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

406 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6245

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

6001 Industrial Blvd
Century, FL 32535
Phone (850) 256-4727

221 E Redstone Ave
Crestview, FL 32539
Phone (850) 398-6606

319 Green Acres Rd
#103
Fort Walton Beach, FL 32547

67 Joe Campbell Rd
Freeport, FL 32439

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

6007 Berryhill Rd
Milton, FL 32570
Phone (850) 623-4771

1619 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone (504) 444-4700

5149 N 9th Ave
Ste G35
Pensacola, FL 32504
Phone (850) 471-1445

2940 N Blue Angel Pkwy
Pensacola, FL 32506
Phone (850) 453-3658

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 4

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1407697063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11037",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241037",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047152",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Atmore",
            "state": "AL",
            "postal_code": "365023006",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001802",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11033309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.