Individual provider Active NPI

Elena Gayle Simpkins, APRN

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1447072798
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11036177 Issued in FL
Practice address
5611 Pinetree Ave
Panama City Beach, FL 32408-6666
Phone
(850) 348-9079
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 APRN11036177 FL Primary

Addresses

Primary practice location

5611 Pinetree Ave
Panama City Beach, FL 32408-6666

Mailing address

5611 Pinetree Ave
Panama City Beach, FL 32408-6666
Phone (850) 348-9079

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
I20250221002475 FL Practitioner - Nurse Practitioner 1759801632 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
Coastal Internal Medicine, LLCGroup PAC ID 8729365051, 3 clinicians

Practice addresses (Care Compare)

12007 Panama City Beach Pkwy
Panama City Beach, FL 32407-2607
Phone (850) 234-5151

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Internal Medicine, LLC CurrentSince Dec 21, 2024 Accepting new patients

Locations

12007 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (631) 816-6611

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGCGAA
  • Direct secure messaging: elena.simpkins.p1@direct.coastalinternalmed.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFHJDD/Endpoint/AFHJDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1447072798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 PINETREE AVE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324086666",
            "telephone_number": "850-348-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 PINETREE AVE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324086666",
            "telephone_number": "850-348-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPKINS",
        "first_name": "ELENA",
        "middle_name": "GAYLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.