Organization provider

12TH AVENUE HEALTHCARE, INC

Family Nurse Practitioner Medicare enrolled

12TH AVENUE HEALTHCARE, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003528258, based in Pensacola, FL. It is classified under Family Nurse Practitioner.

Getting there

Here is what surrounds this office in Pensacola, based on OpenStreetMap data collected Oct 3, 2026. Parking is available about 0.55 mi away. The nearest transit stop is 0.48 mi away. If you arrive early, there is a coffee shop 0.41 mi away.

1101 OFFICE WOODS DR, Pensacola, FL 32504 Open in Google Maps →

Getting here and what is nearby

Coffee The Leisure Club Coffee and Brunch Bar 378 ft ~2 min

1151 Office Woods Drive, 32504

Mo-Sa 07:00-15:00

+1-850-912-4229

Directions in Google Maps →

Restaurant Bonefish Grill 471 ft ~2 min

5025 North 12th Avenue, Pensacola 32504

+1-850-471-2324

Website

Directions in Google Maps →

Hotel Homewood Suites Pensacola-Arpt (Cordova Mall Area) 770 ft ~3 min

5049 Corporate Woods Drive, Pensacola 32504

+1 850-474-3777

Website

Directions in Google Maps →

Parking 0.20 mi ~4 min
Hotel Hampton Inn & Suites 0.21 mi ~5 min

2187 Airport Boulevard, Pensacola 32504

+1 850-478-1123

Website

Directions in Google Maps →

Parking 0.23 mi ~5 min
Convenience Circle K 0.33 mi ~7 min
Restaurant McDonald's 0.33 mi ~7 min

4990 Bayou Road, Pensacola 32503

06:00-22:00

+1 850-476-5529

Website

Directions in Google Maps →

Gas station Shell 0.34 mi ~7 min
Restaurant Sushi Masa 0.34 mi ~7 min
Coffee Starbucks 0.41 mi ~9 min

5040 Bayou Boulevard, Pensacola 32503

+1 850-484-8547

Website

Directions in Google Maps →

Hotel Hyatt Place 0.44 mi ~9 min

161 Airport Lane, Pensacola 32504

+1 850-483-5599

Website

Directions in Google Maps →

Grocery Winn-Dixie 0.45 mi ~9 min

4751 Bayou Boulevard, Pensacola 32503

+1 850-479-9186

Website

Directions in Google Maps →

Transit 0.48 mi ~10 min
Parking 0.55 mi ~11 min

Airport Boulevard, Pensacola 32504

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Oct 3, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0547633752
Enrollment ID
O20230308001546

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers ›Nurse Practitioner ›Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1003528258 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 20, 2022
Last updatedDec 20, 2022
StatusActive
Practice address 1101 OFFICE WOODS DR
Pensacola, FL 32504
(850) 776-7872
Fax (850) 474-9060
Mailing address 9735 N PALAFOX ST
Pensacola, FL 32534
The last update on file is Dec 20, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1003528258 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 5 2 8 2 5
Doubled? — ×2 — ×2 — ×2 — ×2 — ×2 — ×2 — ×2
Value 8 0 8 8 0 2 0 0 3 1 2 7 2 1

Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003528258?
NPI 1003528258 is the National Provider Identifier assigned to 12TH AVENUE HEALTHCARE, INC in Pensacola, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact 12TH AVENUE HEALTHCARE, INC?
The phone number on file with NPPES is (850) 776-7872, last updated Dec 20, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does 12TH AVENUE HEALTHCARE, INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting 12TH AVENUE HEALTHCARE, INC?
Parking is about 0.55 mi from the office. The closest transit stop is 0.48 mi away. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003528258 a valid number?
Yes. 1003528258 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.