Individual provider Active NPI

Yelena Sergeevna Vuyovich, ARNP

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1982018230
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9308402 Issued in FL
Practice address
4901 Market Place Rd
Pensacola, FL 32504-8986
Phone
(850) 484-4080
Fax
(850) 484-8801
NPI assigned
Jun 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 9308402 FL Primary

Addresses

Primary practice location

4901 Market Place Rd
Pensacola, FL 32504-8986

Mailing address

4901 Market Place Rd
Pensacola, FL 32504-8986
Phone (850) 484-4080

Other practice location 1

1717 N E St
Suite 533 Tower 3
Pensacola, FL 32501-6339
Phone (850) 429-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140814001469 FL Practitioner - Nurse Practitioner 4385861327 Reassigns benefits to 1 organization
I20230426000358 AL Practitioner - Nurse Practitioner 4385861327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pain Consultants LLCGroup PAC ID 1658516570, 37 clinicians

Practice addresses (Care Compare)

408 Medical Park Dr
Atmore, AL 36502-3016
Phone (855) 527-7246

4901 Market Place Rd
Pensacola, FL 32504-8986
Phone (850) 484-4080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9308402FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Hospital Medicine PastSince Oct 29, 2023 Accepting new patients
BMR Anesthesia PLLC PastSince Feb 23, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yelena.vuyovich.1@11679.direct.athenahealth.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 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": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1982018230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 MARKET PLACE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048986",
            "telephone_number": "850-484-4080",
            "fax_number": "850-484-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 MARKET PLACE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048986",
            "telephone_number": "850-484-4080",
            "fax_number": "850-484-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N E St",
            "address_2": "Suite 533 Tower 3",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016339",
            "country_code": "US",
            "telephone_number": "850-429-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUYOVICH",
        "first_name": "YELENA",
        "middle_name": "SERGEEVNA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9308402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.