Active NPI
Justin Frye
- Acute Care Nurse Practitioner
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11003590
- Practice address
- 504 N Macarthur Ave
Panama City, FL 32401-3636 - Phone
- (850) 769-2158
- NPI assigned
- Sep 5, 2019
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11003590 | FL | Primary |
Addresses
Primary practice location
504 N Macarthur Ave
Panama City, FL 32401-3636
Mailing address
504 N Macarthur Ave
Panama City, FL 32401-3636
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
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
504 N Macarthur Ave
Panama City, FL 32401-3636
Phone (850) 769-2158
Hospital & facility affiliations
- HCA Florida Gulf Coast Hospital
- Ascension Sacred Heart Bay
- Jackson Hospital
- Northwest Florida Community Hospital
- Calhoun-Liberty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates PA | Current | Accepting new patients |
Locations
3048 4th St
Marianna, FL 32446
Phone (850) 526-2405
504 N MacArthur Ave
Panama City, FL 32401
Phone (850) 769-2158
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.
-
- Nephrology Physician
- Panama City, FL
- NPI 1336145580
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- Critical Access Hospital
- Blountstown, FL
- NPI 1437253085
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1750930467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 N MACARTHUR AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N MACARTHUR AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013636",
"telephone_number": "850-769-2158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYE",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11003590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.