Individual provider Active NPI

Anna Kaitlyn Rich, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Wewahitchka, FL
National Provider Identifier
1801464789
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013700 Issued in FL
Practice address
805 Highway 22
Wewahitchka, FL 32465-3237
Phone
(850) 568-1053
Fax
(850) 568-1140
NPI assigned
Jun 16, 2021
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 APRN11013700 FL Primary

Addresses

Primary practice location

805 Highway 22
Wewahitchka, FL 32465-3237

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

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
I20210819002568 FL Practitioner - Nurse Practitioner 8628473220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Sacred Heart GulfGroup PAC ID 9830231034, 13 clinicians

Practice addresses (Care Compare)

805 W Hwy 22
Wewahitchka, FL 32456-3237
Phone (850) 568-1053

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chipola Medical Associates, LLC CurrentSince Aug 9, 2021 Accepting new patients
Ascension Sacred Heart Gulf CurrentSince Mar 9, 2022 Accepting new patients
Ascension Sacred Heart Gulf CurrentSince Mar 9, 2022 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4215 Kelson Ave
Marianna, FL 32446
Phone (850) 526-3434

4215 Kelson Ave
Ste E
Marianna, FL 32446
Phone (850) 482-8520

2475 Garrison Ave
Port St Joe, FL 32456
Phone (850) 227-1276

3871 E Highway 98
Ste 200
Port St Joe, FL 32456
Phone (850) 229-5661

805 Highway 22
Wewahitchka, FL 32465
Phone (850) 568-1053

Interoperability endpoints

  • Direct secure messaging: anna.rich.1@9582.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1801464789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HIGHWAY 22",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324653237",
            "telephone_number": "850-568-1053",
            "fax_number": "850-568-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "ANNA",
        "middle_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewahitchka, FL

Sources for this page

Verify at the official NPI Registry.