Emily Anne Tezak

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11024016 Issued in FL

Practice address

202 W Highway 98
Port St Joe, FL 32456-1303

Phone

(850) 227-9220

NPI assigned

Jan 27, 2023

Last updated

Jan 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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 LLCGroup PAC ID 8123442134, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Wewahitchka, FL, CCN 108001
• Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• New Horizon Primary Care, LLC

  • Primary Care Clinic/Center
  • Port St Joe, FL
  • NPI 1437775020
  Medicare reassignment Care Compare group NPD
• Hannahan Comprehensive Pain Care PC

  • Pain Medicine (Anesthesiology) Physician
  • Enterprise, AL
  • NPI 1972090991
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• A & a Homecare, Inc.

  dba Trilogy Home Healthcare

  • Home Health Agency
  • Wewahitchka, FL
  • NPI 1982606240
  Care Compare affiliation
• Ascension Sacred Heart Gulf

  • Rural Acute Care Hospital
  • Port St Joe, FL
  • NPI 1083941678
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1447966809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 LONG AVE",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324562012",
            "telephone_number": "219-728-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W HIGHWAY 98",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561303",
            "telephone_number": "850-227-9220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Long Ave",
            "address_purpose": "LOCATION",
            "city": "Port Saint Joe",
            "state": "FL",
            "postal_code": "324562012",
            "country_code": "US",
            "telephone_number": "219-728-9540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEZAK",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11024016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Joseph Care of Florida, Inc. (Gulf County Health Department)
• Donald Summers, LMHC
• Teresa Dawn Summers, MD
• Carol A Sutton, MD
• Tem Medical
• The Art of Draw
• Derek D Tracy, D.C.
• Lisa M Trautman, APRN PMHNP-BC, FNP-C
• Luis C Vazquez-Alvarado, MD
• Marni Liane Vedova

• Nurse Practitioner in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.

Verify at the official NPI Registry.