Individual provider Active NPI

Jennifer Haugen, ARNP

  • Family Nurse Practitioner
  • Milton, FL
National Provider Identifier
1497140768
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9229533 Issued in FL
Practice address
4244 Avalon Blvd
Milton, FL 32583-2808
Phone
(850) 494-4600
Fax
(850) 983-4025
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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 ARNP9229533 FL Primary

Addresses

Primary practice location

4244 Avalon Blvd
Milton, FL 32583-2808

Mailing address

4244 Avalon Blvd
Milton, FL 32583-2808
Phone (850) 494-4600

Other identifiers 1

IdentifierTypeStateIssuer
014757700MedicaidFL

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
I20150623000943 FL Practitioner - Nurse Practitioner 3870804495 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9229533FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Primary Care Inc CurrentSince Jan 10, 2017 Accepting new patients
Pensacola Primary Care Inc CurrentSince Jan 10, 2017 Accepting new patients

Locations

4244 Avalon Blvd
Milton, FL 32583
Phone (448) 227-5750

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

Interoperability endpoints

  • Direct secure messaging: jennifer.haugen.1@9582.direct.athenahealth.com
  • Direct secure messaging: jennifer.haugen@hca5.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1497140768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 AVALON BLVD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832808",
            "telephone_number": "850-494-4600",
            "fax_number": "850-983-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 AVALON BLVD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832808",
            "telephone_number": "850-494-4600",
            "fax_number": "850-983-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9229533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014757700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.