Individual provider Active NPI

Allison Rego

  • Physician Assistant
  • Crestview, FL
National Provider Identifier
1417735994
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Premier Dr Unit a
Crestview, FL 32539-3246
Phone
(850) 477-2597
NPI assigned
Sep 18, 2023
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

100 Premier Dr Unit a
Crestview, FL 32539-3246

Mailing address

100 Premier Dr Unit a
Crestview, FL 32539-3246

Other practice location 1

204 Center St
Gulf Breeze, FL 32561-4392
Phone (850) 477-2597

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
I20231022000032 FL Practitioner - Physician Assistant 7214383660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9400 University Pkwy
Pensacola, FL 32514-5752
Phone (850) 436-4563

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.51 of 100Reported as group
Quality
51.13
Promoting interoperability
94
Improvement activities
40
Cost
75.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Pensacola PA CurrentSince Nov 6, 2023 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

100 Premier Dr
Unit A
Crestview, FL 32539

204 Center St
Gulf Breeze, FL 32561
Phone (850) 932-5348

4531 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-5577

4828 N Davis Hwy
Pensacola, FL 32503

5147 N 9th Ave
Ste 311
Pensacola, FL 32504

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

Interoperability endpoints

  • Direct secure messaging: allison.hardin@gastrohealth.eclinicaldirectplus.com

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.

Hospital & facility affiliations 5

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1417735994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PREMIER DR UNIT A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PREMIER DR UNIT A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325393246",
            "telephone_number": "850-477-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Center St",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325614392",
            "country_code": "US",
            "telephone_number": "850-477-2597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGO",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.