Individual provider Active NPI

Nathan W. Patterson, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Pensacola, FL
National Provider Identifier
1952341190
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME91684 Issued in FL
Practice address
543 Fontaine St Ste a
Pensacola, FL 32503-2058
Phone
(850) 476-3223
Fax
(850) 476-1948
NPI assigned
Jun 7, 2006
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME91684 FL Primary

Addresses

Primary practice location

543 Fontaine St Ste a
Pensacola, FL 32503-2058

Mailing address

543 Fontaine St Ste a
Pensacola, FL 32503-2058
Phone (850) 934-3756

Other identifiers 3

IdentifierTypeStateIssuer
591-74687OtherFLBC/BS OF AL ID #
7359638OtherFLAETNA ID #
52014OtherFLBC/BS ID #

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000059 FL Practitioner - Plastic and Reconstructive Surgery 6406814961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

543 Fontaine St
Suite a
Pensacola, FL 32503-2058
Phone (850) 476-3223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME91684FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan W. Patterson MD PL CurrentSince Oct 1, 2007 Accepting new patients
Gulf Coast Plastic Surgery Center, LLC Plastic and Reconstructive Surgery CurrentSince Feb 19, 2025 Accepting new patients
Jocelyn E. Leveque, MD PL Plastic and Reconstructive Surgery Past Accepting new patients

Locations

1040 Gulf Breeze Pkwy
Ste 207
Gulf Breeze, FL 32561
Phone (850) 934-3756

539 Fontaine St
Pensacola, FL 32503
Phone (850) 476-3223

543 Fontaine St
Ste A
Pensacola, FL 32503
Phone (850) 476-3223

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1952341190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 FONTAINE ST STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032058",
            "telephone_number": "850-934-3756",
            "fax_number": "850-934-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 FONTAINE ST STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032058",
            "telephone_number": "850-476-3223",
            "fax_number": "850-476-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "NATHAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME91684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AL ID #",
            "identifier": "591-74687",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "7359638",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID #",
            "identifier": "52014",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.