Individual provider Active NPI

Sandra Paquingan Kloman, ARNP

  • Acute Care Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1811181985
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3358402 Issued in FL
Practice address
9400 University Parkway #10C
Medical Professional Agency
Pensacola, FL 32514
Phone
(850) 623-2948
Fax
(850) 626-2734
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 3358402 FL
Acute Care Nurse Practitioner 363LA2100X 3358402 FL Primary

Addresses

Primary practice location

9400 University Parkway #10C
Medical Professional Agency
Pensacola, FL 32514

Mailing address

P.O. Box 893
Medical Professional Agency
Milton, FL 32572-0893
Phone (850) 623-2948

Other names 1

  • Sandra Paquingan Former name

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
I20081210000521 FL Practitioner - Nurse Practitioner 9234290198 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3358402FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Group of Florida, LLC CurrentSince Jul 1, 2023 Accepting new patients
Psgfl MSSP, LLC CurrentSince Jul 24, 2025 Accepting new patients
Careconnectmd Florida P.a. CurrentSince Jul 31, 2023 Accepting new patients
Medical Professional Agency Inc Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

Organizations & group practices 4

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1811181985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 893",
            "address_2": "MEDICAL PROFESSIONAL AGENCY",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325720893",
            "telephone_number": "850-623-2948",
            "fax_number": "850-626-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PARKWAY #10C",
            "address_2": "MEDICAL PROFESSIONAL AGENCY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32514",
            "telephone_number": "850-623-2948",
            "fax_number": "850-626-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOMAN",
        "first_name": "SANDRA",
        "middle_name": "PAQUINGAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "3358402",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "3358402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PAQUINGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.