NPIMap

Bethany Kaitlyn Carr, APRN

Individual provider Active NPI Acute Care Nurse Practitioner · Pensacola, FL

NPI 1457066110 · NPPES record last updated Nov 8, 2024

Key facts

NPI
1457066110
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
APRN11035285 (FL)
Practice address
5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone
(850) 416-7000
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 15

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Memorial Healthcare Inc (498 clinicians)

Practice addresses (Care Compare)

1775 One Healing PL
Tallahassee, FL 32308-4600
Phone (850) 431-5360

Hospital & facility affiliations

  • Tallahassee Memorial Healthcare Hospital · Tallahassee, FL · CCN 100135

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 IDStateProvider typePAC IDDetails
I20241202003386 FL Practitioner - Nurse Practitioner 4587199385 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9470896FLMDRegistered Nurse
APRN11035285FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Florida P.a. Current
since Feb 6, 2025		 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Current
since Nov 1, 2025		 Accepting new patients
Physician Services Group of Florida, LLC Current
since Nov 25, 2024		 Accepting new patients
Psgfl MSSP, LLC Past
since Jul 28, 2025		 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1775 One Healing Pl
Tallahassee, FL 32308
Phone (850) 431-4226

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9470896 FL
Acute Care Nurse Practitioner 363LA2100X APRN11035285 FL Yes

Addresses

Primary practice location

5151 N 9TH Ave
Pensacola, FL 32504-8721

Mailing address

9127 Tara Cir
Milton, FL 32583-4150
Phone (850) 816-9694

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2024.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1457066110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 TARA CIR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325834150",
            "telephone_number": "850-816-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "850-416-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "BETHANY",
        "middle_name": "KAITLYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9470896",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11035285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

All providers in Pensacola, FL · Acute Care Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.