Individual provider Active NPI

Katrina Lynn Orend

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1922727395
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11021584 Issued in FL
Practice address
45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone
(850) 290-8410
Fax
(866) 574-6391
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 11021584 FL Primary

Addresses

Primary practice location

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668

Mailing address

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668
Phone (850) 290-8410

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
I20220920002731 FL Practitioner - Nurse Practitioner 0042695561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Beacon Medical LLCGroup PAC ID 5799031969, 12 clinicians
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

Practice addresses (Care Compare)

45 Industrial Blvd
Suite C
Pensacola, FL 32503-7668
Phone (251) 533-3509

4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312

Hospital & facility affiliations

  • Stat Home Health Florida Panhandle LLC Home health agency, Pensacola, FL, CCN 103138
  • Mission Home Health LLC Home health agency, Pensacola, FL, CCN 687091
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021584FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pcma Palliative Division LLC CurrentSince Apr 2, 2026 Accepting new patients
Beacon Medical LLC Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients

Locations

5113 N Davis Hwy
Ste 1
Pensacola, FL 32503
Phone (850) 290-8410

45 Industrial Blvd
Ste C
Pensacola, FL 32503
Phone (251) 533-3509

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

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 6

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1922727395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREND",
        "first_name": "KATRINA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11021584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.