Active NPI
Craig Andrew Ingermann, PA-C
- Physician Assistant
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106583
- Practice address
- 5147 N 9TH Ave Ste 318
Pensacola, FL 32504-8710 - Phone
- (850) 462-2250
- Fax
- (850) 741-3053
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9106583 | FL | Primary |
Addresses
Primary practice location
5147 N 9TH Ave Ste 318
Pensacola, FL 32504-8710
Mailing address
1824 King St Ste 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513206 | Medicaid | TN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000
5151 N 9TH Ave
Suite 200
Pensacola, FL 32504-8721
Phone (850) 416-4188
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1556 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients |
Locations
5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
5147 N 9th Ave
Ste 318
Pensacola, FL 32504
Phone (850) 416-2965
Interoperability endpoints
- craig.ingermann@hca5.eclinicaldirectplus.com
- craig.ingermann.2@9582.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1669498820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 KING ST STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044736",
"telephone_number": "904-384-3343",
"fax_number": "904-400-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5147 N 9TH AVE STE 318",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048710",
"telephone_number": "850-462-2250",
"fax_number": "850-741-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGERMANN",
"first_name": "CRAIG",
"middle_name": "ANDREW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513206",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Inex Therapeutic & Rehabilitation
- Infectious Disease Group, PA
- Infectious Diseases Associates of Northwest Florida PA
- Infectious Diseases Expert Group of NW Florida LLC
- Infinite Developmental Services LLC.
- Brandy Latasha Ingram, LCSW
- Kelly Patton Ingram, CRNA
- Inher Physique LLC
- Bonnie Carol Inkel
- My-Hanh Thi Inman, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.