Individual provider Active NPI

Fatma Gaydon, MSN, APRN, AGACNP-BC

  • Nurse Practitioner
  • Pace, FL
National Provider Identifier
1912607789
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11025013 Issued in FL
Practice address
4262 Woodbine Rd
Pace, FL 32571-8703
Phone
(850) 494-4000
Fax
(850) 995-5776
NPI assigned
Mar 9, 2023
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 APRN11025013 FL Primary

Addresses

Primary practice location

4262 Woodbine Rd
Pace, FL 32571-8703

Mailing address

4262 Woodbine Rd
Pace, FL 32571-8703
Phone (850) 494-4000

Other practice location 1

8333 N Davis Hwy Fl 4
Pensacola, FL 32514-6050
Phone (850) 969-7979

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
I20230811003381 FL Practitioner - Nurse Practitioner 9638531353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians

Practice addresses (Care Compare)

8383 N Davis Hwy
West Florida Hospital
Pensacola, FL 32514-6039
Phone (850) 494-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
74.46
Promoting interoperability
100
Improvement activities
40
Cost
76.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11025013FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services of Florida PA Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients

Locations

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1912607789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718703",
            "telephone_number": "850-494-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718703",
            "telephone_number": "850-494-4000",
            "fax_number": "850-995-5776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 N Davis Hwy Fl 4",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146050",
            "country_code": "US",
            "telephone_number": "850-969-7979",
            "fax_number": "850-476-9352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYDON",
        "first_name": "FATMA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11025013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

Verify at the official NPI Registry.