Individual provider Active NPI

Kaitlyn Tutt, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1912749656
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118902 Issued in FL
Practice address
4724 N Davis Hwy # 100
Pensacola, FL 32503-2339
Phone
(850) 201-2421
Fax
(850) 886-2235
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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 PA9118902 FL Primary

Addresses

Primary practice location

4724 N Davis Hwy # 100
Pensacola, FL 32503-2339

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

1549 Airport Blvd Ste 440
Pensacola, FL 32504-8634
Phone (850) 201-2418

Other practice location 2

161 E Nine Mile Rd # 100
Pensacola, FL 32534-3140
Phone (850) 201-2422

Other identifiers 1

IdentifierTypeStateIssuer
123002600MedicaidFL

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
I20240703001360 FL Practitioner - Physician Assistant 6406390244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodlands Medical Specialists P aGroup PAC ID 1052469681, 48 clinicians
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

161 E Nine Mile Rd
Pensacola, FL 32534-3140
Phone (850) 696-4000

4724 N Davis Hwy
Pensacola, FL 32503-2339
Phone (850) 696-4000

4724N Davis Hwy
Pensacola, FL 32503-2339

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9118902FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 1, 2026 Accepting new patients
Woodlands Medical Specialists P a Past Accepting new patients

Locations

161 E Nine Mile Rd
#100
Pensacola, FL 32534
Phone (850) 201-2422

4724 N Davis Hwy
#100
Pensacola, FL 32503
Phone (850) 201-2421

1549 Airport Blvd
Ste 440
Pensacola, FL 32504
Phone (850) 201-2418

161 E Nine Mile Rd
Pensacola, FL 32534
Phone (239) 432-8500

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

4724 N Davis Hwy
Ste 100
Pensacola, FL 32503
Phone (850) 201-2421

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Interoperability endpoints

  • Direct secure messaging: kaitlyn.tutt@woodlands.ikm.direct-ci.com

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.

Hospital & facility affiliations 2

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1912749656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 N DAVIS HWY # 100",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032339",
            "telephone_number": "850-201-2421",
            "fax_number": "850-886-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1549 Airport Blvd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048634",
            "country_code": "US",
            "telephone_number": "850-201-2418",
            "fax_number": "850-886-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 E Nine Mile Rd # 100",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325343140",
            "country_code": "US",
            "telephone_number": "850-201-2422",
            "fax_number": "850-886-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUTT",
        "first_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123002600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.