Emily Anne Tezak
Individual provider Active NPI Nurse Practitioner · Port St Joe, FL
NPI 1447966809 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1447966809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11024016 (FL)
- Practice address
- 202 W Highway 98
Port St Joe, FL 32456-1303 - Phone
- (850) 227-9220
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New Horizon Primary Care LLC
Practice addresses (Care Compare)
2475 Garrison Ave
Port Saint Joe, FL 32456-5265
Phone (850) 227-9220
Hospital & facility affiliations
- Trilogy Home Healthcare
- Ascension Sacred Heart Gulf
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230330003082 | FL | Practitioner - Nurse Practitioner | 9537534748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Primary Care, LLC | Current |
Accepting new patients | |
| Hannahan Comprehensive Pain Care PC | Past |
Accepting new patients |
Locations
202 W Highway 98
Port St Joe, FL 32456
Phone (251) 599-6445
2475 Garrison Ave
Ste B
Port St Joe, FL 32456
2475 Garrison Ave
Port St Joe, FL 32456
Phone (850) 227-1276
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11024016 | FL | Yes |
Addresses
Primary practice location
202 W Highway 98
Port St Joe, FL 32456-1303
Mailing address
1014 Long Ave
Port Saint Joe, FL 32456-2012
Phone (219) 728-9540
Other practice location 1
1014 Long Ave
Port Saint Joe, FL 32456-2012
Phone (219) 728-9540
Other providers in Port St Joe, FL
- St Joseph Care of Florida, Inc.
- Donald Summers
- Teresa Dawn Summers
- Carol A Sutton
- Tem Medical
- The Art of Draw
- Derek D Tracy
- Lisa M Trautman
- Luis C Vazquez-Alvarado
- Marni Liane Vedova
All providers in Port St Joe, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.