Individual provider Active NPI

Christina Danielle Zeisler, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1720713787
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11020960 Issued in FL
Practice address
2004 Lewis Turner Blvd Ste B
Fort Walton Beach, FL 32547-1362
Phone
(850) 226-7893
NPI assigned
Jul 22, 2022
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11020960 FL Primary

Addresses

Primary practice location

2004 Lewis Turner Blvd Ste B
Fort Walton Beach, FL 32547-1362

Mailing address

2004 Lewis Turner Blvd Ste B
Fort Walton Beach, FL 32547-1362
Phone (850) 226-7893

Other practice location 1

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (941) 776-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina.zeisler@uhsinc.com Direct

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
I20220917000189 FL Practitioner - Nurse Practitioner 5092190660 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerald Coast Memory Clinic LLCGroup PAC ID 4486911641, 10 clinicians

Practice addresses (Care Compare)

1 LBJ Dr
Ft Walton Beach Rehab Center
Fort Walton Beach, FL 32548
Phone (850) 863-2066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Aug 8, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Aug 8, 2024 Accepting new patients
Emerald Coast Memory Clinic, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

306 W Brock Ave
Bonifay, FL 32425
Phone (850) 547-4440

755 Grand Blvd
Ste 105B278
Miramar Beach, FL 32550
Phone (783) 423-4707

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1720713787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 LEWIS TURNER BLVD STE B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471362",
            "telephone_number": "850-226-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 LEWIS TURNER BLVD STE B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471362",
            "telephone_number": "850-226-7893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "941-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEISLER",
        "first_name": "CHRISTINA",
        "middle_name": "DANIELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11020960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.zeisler@uhsinc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "2004 Lewis Turner Blvd Ste B",
            "city": "Fort Walton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325471362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.