Individual provider Active NPI

Jeanette Mortara, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1457625568
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN 1952492 Issued in FL
Practice address
812 Creighton Rd
Pensacola, FL 32504-7028
Phone
(850) 564-6644
Fax
(866) 740-0655
NPI assigned
Mar 7, 2012
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906790 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3-002281 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN 1952492 FL Primary

Addresses

Primary practice location

812 Creighton Rd
Pensacola, FL 32504-7028

Mailing address

2261 Market St
10222
San Francisco, CA 94114
Phone (251) 978-9780

Other practice location 1

2261 Market St Suite 10222
San Francisco, CA 94114
Phone (415) 360-3348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130724000783 AL Practitioner - Nurse Practitioner 6507007135 Reassigns benefits to 1 organization
I20250226001973 FL Practitioner - Nurse Practitioner 6507007135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-002281ALMDPsychiatric/Mental Health Nurse Practitioner
RN 1952492FLMDPsychiatric/Mental Health Nurse Practitioner
906790MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Apr 1, 2014 Accepting new patients
Gulf Coast Neurospa LLC CurrentSince Jul 4, 2025 Accepting new patients
Brightside Health, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Apr 1, 2014 Accepting new patients
Altapointe Health Systems, Inc. Past Accepting new patients

Locations (25 of 28)

1821 S US Highway 31
Bay Minette, AL 36507

2009 Medical Center Dr
Bay Minette, AL 36507
Phone (251) 937-2010

2411 S US Highway 31
Bay Minette, AL 36507
Phone (251) 300-6906

13833 Tapia Ave
Ste B
Bayou Labatre, AL 36509

7400 Roper Ln
Daphne, AL 36526
Phone (251) 378-6500

372 Greeno Rd S
Fairhope, AL 36532
Phone (251) 927-2871

374 Greeno Rd S
Fairhope, AL 36532
Phone (251) 450-2250

200 E Fig Ave
Foley, AL 36535
Phone (251) 929-5401

201 E Camphor Ave
Foley, AL 36535
Phone (251) 929-5410

301 W Laurel Ave
Foley, AL 36535
Phone (251) 320-3205

88217 Highway 9
Lineville, AL 36266

1015 Montlimar Dr
Mobile, AL 36609
Phone (251) 450-2250

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

4211 Government Blvd
Mobile, AL 36693
Phone (251) 450-4315

550 Congress St
Mobile, AL 36603
Phone (251) 433-5371

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153

630 Zeigler Cir E
Mobile, AL 36608
Phone (251) 450-4335

7280 Sellers Ln
Mobile, AL 36608
Phone (251) 277-9064

4525 Saint Stephens Rd
Prichard, AL 36613
Phone (251) 452-0996

706 Main St
Roanoke, AL 36274

23350 Chicago St
Robertsdale, AL 36567

10 Bemiston Ave
Talladega, AL 35160
Phone (256) 362-8600

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1457625568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST",
            "address_2": "10222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94114",
            "telephone_number": "251-978-9780",
            "fax_number": "251-215-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047028",
            "telephone_number": "850-564-6644",
            "fax_number": "866-740-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2261 Market St Suite 10222",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94114",
            "country_code": "US",
            "telephone_number": "415-360-3348",
            "fax_number": "251-215-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTARA",
        "first_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906790",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "3-002281",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN 1952492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.