NPIMap

Individual provider Active NPI

Tiana Natal Nygaard, P.A.

  • Medical Physician Assistant
  • Pensacola, FL
National Provider Identifier
1477828614
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9106469 Issued in FL
Practice address
5100 N 12TH Ave Ste 101
Pensacola, FL 32504-8919
Phone
(850) 208-6130
Fax
(850) 208-6136
NPI assigned
Mar 21, 2012
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9106469 FL Primary

Addresses

Primary practice location

5100 N 12TH Ave Ste 101
Pensacola, FL 32504-8919

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 352-9500

Other practice location 1

5992 Berryhill Rd
300
Milton, FL 32570-1013
Phone (850) 623-9787

Other practice location 2

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone (850) 290-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000988 FL Practitioner - Physician Assistant 3476713165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical LLCGroup PAC ID 5799031969, 12 clinicians

Practice addresses (Care Compare)

45 Industrial Blvd
Suite C
Pensacola, FL 32503-7668
Phone (251) 533-3509

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106469FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC Past Accepting new patients
Baptist Urgent Care, LLC PastSince Aug 18, 2025 Accepting new patients
Medical Services Corp of Florida Past Accepting new patients

Organizations & group practices 4

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 8

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1477828614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 12TH AVE STE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048919",
            "telephone_number": "850-208-6130",
            "fax_number": "850-208-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5992 Berryhill Rd",
            "address_2": "300",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325701013",
            "country_code": "US",
            "telephone_number": "850-623-9787",
            "fax_number": "850-626-7512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Industrial Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325037668",
            "country_code": "US",
            "telephone_number": "850-290-8410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYGAARD",
        "first_name": "TIANA",
        "middle_name": "NATAL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.