Individual provider Active NPI

Colleen Michelle Class, PA

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1730959339
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120522 Issued in FL
Practice address
125 Baptist Way Ste 4a
Pensacola, FL 32503-2274
Phone
(448) 227-6360
Fax
(850) 469-7849
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120522 FL Primary

Addresses

Primary practice location

125 Baptist Way Ste 4a
Pensacola, FL 32503-2274

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (801) 784-0954

Other practice location 1

1040 Gulf Breeze Pkwy Ste 205
Gulf Breeze, FL 32561-7808
Phone (850) 469-0642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 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
I20240806000623 VA Practitioner - Physician Assistant 4587101746 Reassigns benefits to 1 organization
I20260130002747 FL Practitioner - Physician Assistant 4587101746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1100

125 Baptist Way
Suite 4a
Pensacola, FL 32503-2254
Phone (850) 469-7771

2800 Welford St
Fredericksburg, VA 22401-3176
Phone (540) 361-1830

2800 Wellford St
Suite 200
Fredericksburg, VA 22401-3176
Phone (540) 361-1833

4710 Spotsylvania Pkwy
Fredericksburg, VA 22407-9433

90 Greenspring Dr
Stafford, VA 22554-1752
Phone (540) 373-4602

9530 Cosner Dr
Fredericksburg, VA 22408-7760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9120522FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Jan 5, 2026 Accepting new patients
Baptist Medical Group LLC CurrentSince Jan 5, 2026 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 16, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 16, 2024 Accepting new patients
Orthopedic Specialty Clinic LTD Past Accepting new patients

Locations

1040 Gulf Breeze Pkwy
Ste 205
Gulf Breeze, FL 32561
Phone (850) 469-0642

1040 Gulf Breeze Pkwy
Ste 204
Gulf Breeze, FL 32561
Phone (850) 469-7771

125 Baptist Way
Ste 4A
Pensacola, FL 32503
Phone (448) 227-6360

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133

4710 Spotsylvania Pkwy
Ste 201
Fredericksburg, VA 22407
Phone (540) 374-3233

2800 Wellford St
Ste 100
Fredericksburg, VA 22401

9530 Cosner Dr
Ste 101
Fredericksburg, VA 22408

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

90 Greenspring Dr
Stafford, VA 22554
Phone (540) 373-7133

Interoperability endpoints

  • Direct secure messaging: cclass122730@marywashingtonhealthcare.direct-ci.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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1730959339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-784-0954",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 4A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6360",
            "fax_number": "850-469-7849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Gulf Breeze Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325617808",
            "country_code": "US",
            "telephone_number": "850-469-0642",
            "fax_number": "850-469-0642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLASS",
        "first_name": "COLLEEN",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.