Individual provider Active NPI

Ainza Perry, APRN

  • Nurse Practitioner
  • Milton, FL
National Provider Identifier
1619720588
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11030229 Issued in FL
Practice address
5119 Cherry Blossom LN
Milton, FL 32570-4017
Phone
(850) 287-3723
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11030229 FL Primary

Addresses

Primary practice location

5119 Cherry Blossom LN
Milton, FL 32570-4017

Mailing address

5119 Cherry Blossom LN
Milton, FL 32570-4017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241118003845 FL Practitioner - Nurse Practitioner 6800321514 Reassigns benefits to 1 organization
I20260311001740 WA Practitioner - Nurse Practitioner 6800321514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
American Current Care of Washington PSGroup PAC ID 8022356617, 17 clinicians

Practice addresses (Care Compare)

3101 111TH St SW
Unit Tu
Everett, WA 98204-3590
Phone (425) 267-0299

3928 Pacific Ave SE
Lacey, WA 98503-1109
Phone (360) 455-1350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11030229FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Emergency Physicians, LLC CurrentSince Oct 15, 2024 Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Oct 15, 2024 Accepting new patients
American Current Care of Washington, P.S. CurrentSince Feb 25, 2026 Accepting new patients

Locations

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

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": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1619720588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 CHERRY BLOSSOM LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 CHERRY BLOSSOM LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704017",
            "telephone_number": "850-287-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "AINZA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11030229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.