Individual provider Active NPI

Jolie Susanna Steverson, APRN

  • Family Nurse Practitioner
  • Crestview, FL
National Provider Identifier
1831795699
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010999 Issued in FL
Practice address
302 E James Lee Blvd
Crestview, FL 32539-2827
Phone
(850) 682-1002
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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 RN9343535 FL
Family Nurse Practitioner 363LF0000X 11010999 FL Primary

Addresses

Primary practice location

302 E James Lee Blvd
Crestview, FL 32539-2827

Mailing address

302 E James Lee Blvd
Crestview, FL 32539-2827

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
I20210507000337 FL Practitioner - Nurse Practitioner 1456760255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

302 E James Lee Blvd
Crestview, FL 32539-2827
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9343535FLMDRegistered Nurse
11010999FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Endocrinology Diabetes Health and Hormones CurrentSince May 11, 2022 Accepting new patients
Covenant Hospice Inc PastSince Feb 1, 2021 Accepting new patients

Locations

501 N Spring St
Crestview, FL 32536
Phone (850) 460-7090

1241 Airport Rd
Ste M
Destin, FL 32541
Phone (850) 460-7090

633 E Baldwin Rd
Panama City, FL 32405
Phone (850) 522-5490

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1831795699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E JAMES LEE BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E JAMES LEE BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325392827",
            "telephone_number": "850-682-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVERSON",
        "first_name": "JOLIE",
        "middle_name": "SUSANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9343535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.