Individual provider Active NPI

Lydia Lea Odlin Simrill

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1871277137
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9121339 Issued in FL
Practice address
1501 W Nine Mile Rd
Pensacola, FL 32534-5307
Phone
(850) 746-4958
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9121339 FL Primary

Addresses

Primary practice location

1501 W Nine Mile Rd
Pensacola, FL 32534-5307

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Other practice location 1

5736 Chumuckla Hwy
Pace, FL 32571-7004
Phone (850) 746-2300

Other practice location 2

5151 N 9th Ave
Pensacola, FL 32504-8721
Phone (850) 416-7000

Other practice location 3

924 Matthews Commons Dr Apt 12
Matthews, NC 28105-6136
Phone (207) 210-0498

Other names 1

  • Lydia Lea Odlin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240401002103 CA Practitioner - Physician Assistant 5698113322 Reassigns benefits to 2 organizations
I20260303001107 FL Practitioner - Physician Assistant 5698113322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

1501 W 9 Mile Rd
Vituity
Pensacola, FL 32534-5307
Phone (850) 746-4958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9121339FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Feb 24, 2026 Accepting new patients
Cep America LLC CurrentSince Feb 24, 2026 Accepting new patients
Cep America-California CurrentSince Feb 23, 2024 Accepting new patients
Cep America - California CurrentSince Feb 23, 2024 Accepting new patients
Cep America LLC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1501 W Nine Mile Rd
Pensacola, FL 32534
Phone (850) 416-4940

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

Organizations & group practices 8

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1871277137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325345307",
            "telephone_number": "850-746-4958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5736 Chumuckla Hwy",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325717004",
            "country_code": "US",
            "telephone_number": "850-746-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048721",
            "country_code": "US",
            "telephone_number": "850-416-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 Matthews Commons Dr Apt 12",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281056136",
            "country_code": "US",
            "telephone_number": "207-210-0498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMRILL",
        "first_name": "LYDIA",
        "middle_name": "LEA ODLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "ODLIN",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.