PENSACOLA NEPHROLOGY, PA
NPI 1033167374
Internal Medicine - Nephrology in Crestview, FL

Active since May 05, 2006
221 E REDSTONE AVE, CRESTVIEW, FL 32539(850) 398-6606(850) 398-6424 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, Feb 7, 2025, Jun 11, 2021 (3 updates tracked since 2021).

About Pensacola Nephrology, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENSACOLA NEPHROLOGY, PA (NPI 1033167374), doing business as Renalus Center For Kidney Care, is a healthcare organization registered as a nephrology in Crestview, Florida and active in the NPI registry since May 2006. The organization lists Justin Dansby, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033167374
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePENSACOLA NEPHROLOGY, PA
Location Address221 E REDSTONE AVECrestview, FL 32539-5373
Mailing AddressPo Box 11037Pensacola, FL 32524-1037 · (850) 444-7000 · Fax (850) 444-7497
Fax(850) 398-6424
Organization SubpartYes
Authorized OfficialJustin DansbyCfo · (850) 444-7000
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1033167374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
221 E REDSTONE AVE, Crestview, FL 32539

Other Names 1

Doing Business AsRenalus Center For Kidney Care

Other Identifiers 9

Medicaid256870500FL
Medicaid256870504FL
Medicaid256870503FL
Medicaid256870505FL
Medicaid256870501FL
Medicaid256870502FL
Medicaid256870507FL
Medicaid256870508FL
Medicaid256870506FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pensacola Nephrology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Pensacola Nephrology, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner21
Nephrology15

Nearest to this location (20)

See all 36
Nurse Practitioner
NPI 1194347997
221 E REDSTONE AVE
Crestview, FL 32539
(850) 444-7004
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1740269448
221 E REDSTONE AVE
Crestview, FL 32539
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154121119
221 E REDSTONE AVE
Crestview, FL 32539
(850) 585-2428
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033818505
319 GREEN ACRES RD STE 103
Fort Walton Beach, FL 32547
(850) 862-2385
✔ PECOS✔ Accepts Medicare20 mi
Nephrology
NPI 1508122516
319 GREEN ACRES RD STE 103
Fort Walton Beach, FL 32547
(850) 862-2385
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1437949450
71 MARY ESTHER BLVD
Mary Esther, FL 32569
(850) 591-5798
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1023328408
4476 LEGENDARY DR STE 100
Destin, FL 32541
(850) 424-7320
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1902204746
2564 HIDDEN CREEK DR
Navarre, FL 32566
(251) 455-8835
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1205588803
109 OPP AVE
Andalusia, AL 36420
(850) 444-4700
✔ PECOS✔ Accepts Medicare40 mi
Nephrology
NPI 1407840440
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1487656641
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1508174236
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1659817153
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nephrology
NPI 1649273327
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nephrology
NPI 1376545566
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nephrology
NPI 1194846923
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1225613755
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nephrology
NPI 1376064568
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nephrology
NPI 1730177429
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
Nephrology
NPI 1841265253
1619 CREIGHTON RD SUITE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts Medicare42 mi
See all 36 clinicians

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 Pensacola Nephrology, PA's NPI number?

The NPI number for Pensacola Nephrology, PA is 1033167374. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Renalus Center for Kidney Care.

Where is Pensacola Nephrology, PA located?

Pensacola Nephrology, PA is located at 221 E Redstone Ave, Crestview, FL 32539. The listed phone number is (850) 398-6606.

What is Pensacola Nephrology, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pensacola Nephrology, PA enrolled in Medicare?

Yes. Pensacola Nephrology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pensacola Nephrology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 2 Medicare specialties reassign their Medicare billing to Pensacola Nephrology, PA. 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. The largest specialties are Nurse Practitioner (21) and Nephrology (15). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pensacola Nephrology, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pensacola Nephrology, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pensacola Nephrology, PA was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.