Individual provider Active NPI

Jamieson Taylor Peterman, ARNP

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1962792028
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9233889 Issued in FL
Practice address
1549 Airport Blvd
Suite 340
Pensacola, FL 32504-8633
Phone
(850) 416-2340
Fax
(850) 416-2338
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9233889 FL Primary

Addresses

Primary practice location

1549 Airport Blvd
Suite 340
Pensacola, FL 32504-8633

Mailing address

7456 Navarre Pkwy
Navarre, FL 32566-8192
Phone (850) 626-5459

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 9233889OtherFLSTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jamieson.peterman@srmcfl.com
Direct Messaging Address jamieson.peterman@srmcfl.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110623000369 FL Practitioner - Nurse Practitioner 7618155599 Reassigns benefits to 2 organizations
I20250707001725 PA Practitioner - Nurse Practitioner 7618155599 Reassigns benefits to 1 organization
I20250918002448 RI Practitioner - Nurse Practitioner 7618155599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ibis Health Services - Florida PLLCGroup PAC ID 5294257218, 2 clinicians
Ibis Health Services- Massachusetts LLCGroup PAC ID 4486998994, 9 clinicians

Practice addresses (Care Compare)

1201 Hays St
Tallahassee, FL 32301-2607
Phone (978) 635-9090

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 469-2313

222 Jefferson Blvd
Suite 200
Warwick, RI 02888-3855
Phone (978) 635-9090

2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Phone (978) 635-9090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
93.19
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9233889FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Emergency Physicians, LLC CurrentSince Dec 25, 2012 Accepting new patients
Santa Rosa Hma Physician Management LLC Family CurrentSince Jul 4, 2021 Accepting new patients
Pensacola Emergency Physicians, LLC Current Accepting new patients
Ibis Health Services - Florida PLLC CurrentSince Jun 24, 2025 Accepting new patients
Ibis Health Services- Massachusetts, LLC Family CurrentSince Jun 26, 2025 Accepting new patients
Santa Rosa Hma Physician Management LLC PastSince Jul 4, 2021 Accepting new patients

Locations

7456 Navarre Pkwy
Navarre, FL 32566
Phone (850) 626-5070

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233

215 Ayer Rd
Unit 797
Harvard, MA 01451

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

222 Jefferson Blvd
Ste 200
Warwick, RI 02888
Phone (800) 221-5140

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1962792028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668192",
            "telephone_number": "850-626-5459",
            "fax_number": "850-475-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 AIRPORT BLVD",
            "address_2": "SUITE 340",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048633",
            "telephone_number": "850-416-2340",
            "fax_number": "850-416-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "JAMIESON",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9233889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ARNP 9233889",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamieson.peterman@srmcfl.com",
            "affiliation": "N",
            "endpointDescription": "amr direct access",
            "address_1": "1549 Airport Blvd",
            "address_2": "Suite 340",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325048633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamieson.peterman@srmcfl.com",
            "affiliation": "N",
            "endpointDescription": "amr direct message",
            "address_1": "7456 Navarre Pkwy",
            "city": "Navarre",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325668192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.