Individual provider Active NPI

Lindsey M Bailey

  • Psychiatric/Mental Health Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1770232084
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11031434 Issued in FL
Practice address
625 Jenks Ave
Panama City, FL 32401-2629
Phone
(850) 215-5657
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 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 11031434 FL Primary

Addresses

Primary practice location

625 Jenks Ave
Panama City, FL 32401-2629

Mailing address

416 S Palo Alto Ave
Panama City, FL 32401-3976
Phone (850) 832-0551

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
I20241018000036 FL Practitioner - Nurse Practitioner 8224560040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Wave Family Wellness CenterGroup PAC ID 8325059207, 3 clinicians

Practice addresses (Care Compare)

625 Jenks Ave
Panama City, FL 32401-2629
Phone (850) 215-5657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11031434FLMDPsychiatric/Mental Health Nurse Practitioner
APRNFLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Green Wave Family Wellness Center CurrentSince Sep 1, 2024 Accepting new patients

Locations

625 Jenks Ave
Panama City, FL 32401
Phone (850) 215-5657

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1770232084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S PALO ALTO AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013976",
            "telephone_number": "850-832-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012629",
            "telephone_number": "850-215-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LINDSEY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11031434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.