Active NPI
Joseph Duda, APRN
- Nurse Practitioner
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11006043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
1950 Bluewater Blvd
Suite 100
Niceville, FL 32578-3888
Phone (850) 897-8081
Hospital & facility affiliations
- Peoples Home Health LLC
- HCA Florida Twin Cities Hospital
- Sacred Heart Hospital on the Emerald Coast
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9292509 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Lake Oliver Emergency Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Lake Oliver Emergency Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Paragon Emergency Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Current | 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
- https://api.platform.athenahealth.com/23855/brand/1/csg/1/fhir/r4
- 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.
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1013675016
FL, Nurse Practitioner
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
FL, Nurse Practitioner
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1548921034
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
Hospital
-
- Home Health Agency
- Pensacola, FL
- NPI 1801931837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.