Individual provider Active NPI

Kayla D. Bodree, ARNP

  • Women's Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1902254717
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP9329549 Issued in FL
Practice address
125 Baptist Way Ste 5a
Pensacola, FL 32503-2274
Phone
(448) 227-6870
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9329549 FL Primary

Addresses

Primary practice location

125 Baptist Way Ste 5a
Pensacola, FL 32503-2274

Mailing address

PO Box 95590
South Jordan, UT 84095-0590

Other identifiers 1

IdentifierTypeStateIssuer
018385200MedicaidFL

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
I20160826000171 FL Practitioner - Nurse Practitioner 8123313350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

3417 N 12TH Ave
Pensacola, FL 32503-4008
Phone (850) 432-7310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Oct 1, 2016 Accepting new patients
Baptist Medical Group LLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

3874 Highway 90
Pace, FL 32571
Phone (850) 434-4011

245 W Airport Blvd
Ste C
Pensacola, FL 32505

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

3417 N 12th Ave
Pensacola, FL 32503
Phone (850) 432-7310

125 Baptist Way
Ste 5A
Pensacola, FL 32503
Phone (448) 227-6870

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1902254717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 5A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODREE",
        "first_name": "KAYLA",
        "middle_name": "D.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9329549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018385200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.