Individual provider Active NPI

Krystal S. Overly, ARNP

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1902831464
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3248772 Issued in FL
Practice address
12385 Sorrento Rd Ste B3
Pensacola, FL 32507-8656
Phone
(850) 602-0828
Fax
(850) 497-6871
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3248772 FL Primary

Addresses

Primary practice location

12385 Sorrento Rd Ste B3
Pensacola, FL 32507-8656

Mailing address

38 S Blue Angel Pkwy
# 104
Pensacola, FL 32506-6045
Phone (850) 529-7932

Other identifiers 2

IdentifierTypeStateIssuer
307094800MedicaidFL
P00233924OtherRR MEDICARE

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
I20050819000543 FL Practitioner - Nurse Practitioner 2769412618

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Townleys Harmony Healthcare LLC CurrentSince Jul 3, 2022 Accepting new patients
Psgfl MSSP, LLC CurrentSince Jul 28, 2025 Accepting new patients
Emergency Medicine Specialists PLC Past Accepting new patients

Locations

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

12385 Sorrento Rd
Ste A4
Pensacola, FL 32507
Phone (850) 213-6522

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1902831464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S BLUE ANGEL PKWY",
            "address_2": "# 104",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325066045",
            "telephone_number": "850-529-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD STE B3",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078656",
            "telephone_number": "850-602-0828",
            "fax_number": "850-497-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLY",
        "first_name": "KRYSTAL",
        "middle_name": "S.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3248772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307094800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00233924",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.