Individual provider Active NPI

Holley Smith, APRN

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1992696835
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11040752 Issued in FL
Practice address
4910 N 12TH Ave
Pensacola, FL 32504-8972
Phone
(850) 494-4600
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 APRN11040752 FL Primary

Addresses

Primary practice location

4910 N 12TH Ave
Pensacola, FL 32504-8972

Mailing address

4910 N 12TH Ave
Pensacola, FL 32504-8972
Phone (850) 494-4600

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
I20250907000122 FL Practitioner - Nurse Practitioner 1456853662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Primary Care IncGroup PAC ID 6002718343, 21 clinicians

Practice addresses (Care Compare)

4910 N 12TH Ave
Pensacola, FL 32504-8972
Phone (850) 494-4600

Hospital & facility affiliations

  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11040752FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Primary Care Inc CurrentSince Sep 8, 2025 Accepting new patients
Pensacola Primary Care Inc CurrentSince Sep 8, 2025 Accepting new patients
Pensacola Primary Care, Inc. Past Accepting new patients

Locations

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: holley.smith@hca5.eclinicaldirectplus.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 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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1992696835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048972",
            "telephone_number": "850-494-4600",
            "fax_number": "850-456-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048972",
            "telephone_number": "850-494-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HOLLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11040752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.