Individual provider Active NPI

Luisa Fernanda Straub, APRN

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1619626645
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11013452 Issued in FL
Practice address
625 W Baldwin Rd Ste C
Panama City, FL 32405-3359
Phone
(850) 769-0322
Fax
(844) 563-8135
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 11013452 FL Primary

Addresses

Primary practice location

625 W Baldwin Rd Ste C
Panama City, FL 32405-3359

Mailing address

218 Hidden Pines Dr
Panama City Beach, FL 32408-7454
Phone (859) 766-1721

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
I20250604000137 FL Practitioner - Nurse Practitioner 3476062159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Econfina Cardiology Group PAGroup PAC ID 0840180204, 18 clinicians

Practice addresses (Care Compare)

625 W Baldwin Rd
Suite C
Panama City, FL 32405-3359
Phone (850) 769-0329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013452FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Econfina Cardiology Group, PA Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

1936 Jenks Ave
Panama City, FL 32405
Phone (850) 763-5959

801 E 6th St
Panama City, FL 32401
Phone (850) 747-6018

625 W Baldwin Rd
Ste C
Panama City, FL 32405
Phone (850) 769-6612

17745 Ashley Dr
Panama City Beach, FL 32413

Organizations & group practices 1

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1619626645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 HIDDEN PINES DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087454",
            "telephone_number": "859-766-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-769-0322",
            "fax_number": "844-563-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "LUISA",
        "middle_name": "FERNANDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.