Active NPI
Lydia Lea Odlin Simrill
- Physician Assistant
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9121339
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9121339 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America - California | Current | 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.
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1346937331
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Reedley, CA
- NPI 1609143452
-
- Emergency Medicine Physician
- Lakewood, CA
- NPI 1073298451
-
- Emergency Medicine Physician
- Pace, FL
- NPI 1871448001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.