Individual provider Active NPI

Cecilia Hansford, ARNP

  • Family Nurse Practitioner
  • Pace, FL
National Provider Identifier
1467416032
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1555482 Issued in FL
Practice address
3810 Highway 90
Pace, FL 32571-1014
Phone
(850) 994-1011
Fax
(850) 994-0807
NPI assigned
Apr 12, 2006
Last updated
Feb 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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 ARNP1555482 FL Primary

Addresses

Primary practice location

3810 Highway 90
Pace, FL 32571-1014

Mailing address

PO Box 18868
Pensacola, FL 32523-8868
Phone (850) 994-5660

Other identifiers 4

IdentifierTypeStateIssuer
304615000MedicaidFL
59167876OtherALBCBS AL
500026770OtherFLRAILROAD MEDICARE
Y1276OtherFLBCBS FL

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
I20100910001112 FL Practitioner - Nurse Practitioner 4385769595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

3874 Hwy 90
Pace, FL 32571-1014
Phone (850) 995-4244

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1555482FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Sep 1, 2012 Accepting new patients
Baptist Medical Group LLC CurrentSince Sep 1, 2012 Accepting new patients
Baptist Hospital Primary Care LLC Past Accepting new patients
Baptist Physician Enterprise LLC Past Accepting new patients
Baptist Health Care, Inc Past Accepting new patients
First Physicians Group PA Past Accepting new patients

Locations

3810 Highway 90
Pace, FL 32571
Phone (850) 476-9000

3874 Highway 90
Ste 201
Pace, FL 32571
Phone (448) 227-5051

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1467416032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18868",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325238868",
            "telephone_number": "850-994-5660",
            "fax_number": "850-994-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711014",
            "telephone_number": "850-994-1011",
            "fax_number": "850-994-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSFORD",
        "first_name": "CECILIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1555482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304615000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "59167876",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500026770",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y1276",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

Verify at the official NPI Registry.