12th Avenue Healthcare, Inc
NPI 1003528258ActiveOrganization· Nurse Practitioner, Family· Pensacola, FL
Nurse Practitioner, Family in Pensacola, Florida, registered in NPPES in December 2022. The authorized official on file is Emily Stinnett, APRN - FNP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003528258 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2022 |
| Last updated in NPPES | Dec 20, 2022 |
| Certified by provider | Dec 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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