Active NPI
Pensacola Hospitalist Physicians, LLC
- Hospitalist Physician
- Pensacola, FL
National Provider Identifier
1487254140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- PENSACOLA HOSPITALIST PHYSICIANS, LLC
- Practice address
- 123 Baptist Way
Pensacola, FL 32503-2254 - Phone
- (850) 434-4011
- NPI assigned
- Oct 30, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kim Larsen
- Title
- Director of Credentialing
- Phone
- (770) 874-5400
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Hospitalist Physician
- Gulf Breeze, FL
- NPI 1578164497
O20210125001604
Practitioners 160
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Gulf Breeze, FL
- NPI 1710188453
FL
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Pensacola, FL
- NPI 1275568131
FL, Hospitalist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210125001604 | FL | Part B Supplier - Clinic/Group Practice | 5395159818 |
Receives reassigned benefits from 157 practitioners 1 other NPI on this enrollment Practice locations: Gulf Breeze, FL; Pensacola, FL |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
123 Baptist Way
Pensacola, FL 32503-2254
Mailing address
PO Box 28513
Belfast, ME 04915-2037
Phone (770) 874-5400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2026.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1487254140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28513",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152037",
"telephone_number": "770-874-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BAPTIST WAY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032254",
"telephone_number": "850-434-4011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENSACOLA HOSPITALIST PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-30",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "770-874-5400"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.