Individual provider Active NPI

Paula Carter, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1487250577
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010361 Issued in FL
Practice address
45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone
(850) 290-8410
Fax
(866) 574-6391
NPI assigned
Dec 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 11010361 FL Primary

Addresses

Primary practice location

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668

Mailing address

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: 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
I20210810003592 FL Practitioner - Nurse Practitioner 9133523335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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

  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006
  • Mission Home Health LLC Home health agency, Pensacola, FL, CCN 687091
  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • Adoration Home Health Home health agency, Pensacola, FL, CCN 108168
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11010361FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical LLC CurrentSince Aug 2, 2021 Accepting new patients

Locations

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

5113 N Davis Hwy
Ste 1
Pensacola, FL 32503
Phone (850) 290-8410

Organizations & group practices 1

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": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1487250577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        },
        {
            "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",
            "fax_number": "866-574-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "PAULA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.