Individual provider Active NPI

Cristina E Stevenson, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1558051052
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11025286 Issued in FL
Practice address
140 Reclamation Dr
Panama City, FL 32404-6685
Phone
(850) 819-5241
Fax
(850) 724-4039
NPI assigned
May 9, 2023
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11025286 FL Primary
Midwife 176B00000X APRN11025286 FL

Addresses

Primary practice location

140 Reclamation Dr
Panama City, FL 32404-6685

Mailing address

140 Reclamation Dr
Panama City, FL 32404-6685
Phone (850) 819-5241

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531003497 FL Practitioner - Certified Nurse Midwife (CNM) 2961869250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10508 S Bear Creek Rd
Panama City, FL 32404-4816
Phone (850) 819-5241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11025286FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Jubilee Wellness Collective LLC Psychiatric/Mental Health CurrentSince Jan 20, 2026 Accepting new patients
Integrative Nurse Practitioners Psychiatric/Mental Health Past Accepting new patients

Locations

10508 S Bear Creek Rd
Panama City, FL 32404
Phone (850) 819-5241

Interoperability endpoints

  • Direct secure messaging: cristina.stevenson.1@30981.direct.athenahealth.com
  • Direct secure messaging: cristina.stevenson.3@23211.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1558051052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RECLAMATION DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046685",
            "telephone_number": "850-819-5241",
            "fax_number": "850-724-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RECLAMATION DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046685",
            "telephone_number": "850-819-5241",
            "fax_number": "850-724-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "CRISTINA",
        "middle_name": "E",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11025286",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "APRN11025286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.