Individual provider Active NPI

Joseph Duda, APRN

  • Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1609408939
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11006043 Issued in FL
Practice address
2010 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1352
Phone
(850) 530-7070
NPI assigned
Feb 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11006043 FL Primary
Registered Nurse 163W00000X RN9292509 FL

Addresses

Primary practice location

2010 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1352

Mailing address

508 20TH St
Niceville, FL 32578-3370
Phone (850) 420-1696

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
I20200405000126 FL Practitioner - Nurse Practitioner 8325477847 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PA 336 clinicians

Practice addresses (Care Compare)

1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3888
Phone (850) 897-8081

Hospital & facility affiliations

  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9292509FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Sep 23, 2024 Accepting new patients
Lake Oliver Emergency Group, LLC Nurse Practitioner CurrentSince Jun 16, 2022 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
North Florida Surgeons, PA CurrentSince Sep 23, 2024 Accepting new patients
Lake Oliver Emergency Group, LLC Nurse Practitioner CurrentSince Jun 16, 2022 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince May 17, 2023 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

120 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 398-8600

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7720 US Highway 98 W
Ste 200
Miramar Beach, FL 32550
Phone (850) 622-3713

1950 Bluewater Blvd
Ste 100
Niceville, FL 32578
Phone (850) 897-8081

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23855/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joseph.duda.1@9109.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1609408939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 20TH ST",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783370",
            "telephone_number": "850-420-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471352",
            "telephone_number": "850-530-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "JOSEPH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006043",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9292509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.