NPIMap

Individual provider Active NPI

Tiana Natal Nygaard, P.A.

  • Medical Physician Assistant
  • Pensacola, FL
National Provider Identifier
1477828614
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9106469 Issued in FL
Practice address
45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone
(850) 290-8410
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668

Mailing address

2667 Venetian Way
Gulf Breeze, FL 32563-3037
Phone (631) 513-1766

Other practice location 1

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

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

  • Stat Home Health Florida Panhandle LLC Home health agency, Pensacola, FL, CCN 103138
  • Angels Care Home Health of the Emerald Coast Home health agency, Fort Walton Beach, FL, CCN 108181
  • Mission Home Health LLC Home health agency, Pensacola, FL, CCN 687091
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services Corp of Florida Past Accepting new patients

Organizations & group practices 2

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 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": "1735689600000",
    "number": "1477828614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 VENETIAN WAY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633037",
            "telephone_number": "631-513-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410"
        }
    ],
    "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"
        }
    ],
    "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": "2025-01-01",
        "certification_date": "2025-01-01",
        "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.