12TH AVENUE HEALTHCARE, INC
NPI 1003528258
Nurse Practitioner - Family in Pensacola, FL
About 12th Avenue Healthcare, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
12TH AVENUE HEALTHCARE, INC (NPI 1003528258) is a healthcare organization registered as a family in Pensacola, Florida and active in the NPI registry since December 2022. The organization lists Emily Stinnett, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
12th Avenue Healthcare, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to 12th Avenue Healthcare, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 12th Avenue Healthcare, Inc's NPI number?
The NPI number for 12th Avenue Healthcare, Inc is 1003528258. It was assigned to this organization in the NPPES registry on December 20, 2022.
Where is 12th Avenue Healthcare, Inc located?
12th Avenue Healthcare, Inc is located at 1101 Office Woods Dr, Pensacola, FL 32504. The listed phone number is (850) 776-7872.
What is 12th Avenue Healthcare, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is 12th Avenue Healthcare, Inc enrolled in Medicare?
Yes. 12th Avenue Healthcare, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 12th Avenue Healthcare, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to 12th Avenue Healthcare, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 12th Avenue Healthcare, Inc was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# 12th Avenue Healthcare, Inc · NPI 1003528258
Family organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since December 20, 2022.
## Identity
- **NPI:** 1003528258 (Entity type: Organization)
- **Enumerated:** December 20, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Emily Stinnett, PRESIDENT
## Practice location
- **Address:** 1101 OFFICE WOODS DR, Pensacola, FL 32504-5937
- **Phone:** (850) 776-7872 · **Fax:** (850) 474-9060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003528258) · Data from the CMS NPPES public registry.