Individual provider Active NPI

Andrew De Cotis, FNP-C

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1760309066
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11048883 Issued in FL
Practice address
131 Beal Pkwy NW
Fort Walton Beach, FL 32548-4358
Phone
(850) 243-8558
Fax
(850) 243-8558
NPI assigned
Jun 30, 2026
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11048883 FL Primary

Addresses

Primary practice location

131 Beal Pkwy NW
Fort Walton Beach, FL 32548-4358

Mailing address

131 Beal Pkwy NW
Fort Walton Beach, FL 32548-4358
Phone (850) 243-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 Girard Ave NW
Fort Walton Beach, FL 32548-3952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11048883FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Decotis, M.D.,P.a. CurrentSince Jul 15, 2026 Accepting new patients

Locations

131 Beal Pkwy NW
Ft Walton Bch, FL 32548
Phone (850) 243-8558

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, 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": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1760309066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484358",
            "telephone_number": "850-243-8558",
            "fax_number": "850-243-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484358",
            "telephone_number": "850-243-8558",
            "fax_number": "850-243-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE COTIS",
        "first_name": "ANDREW",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11048883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.