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JESSICA R TATE MD
NPI 1104267871
Pediatrics in Gulf Breeze, FL

Active since July 10, 2013PECOS Enrolled
15 DANIEL DR, GULF BREEZE, FL 32561(850) 746-0280(850) 746-0281 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica R Tate Md NPPES

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

JESSICA R TATE MD (NPI 1104267871) is an individual pediatrics provider in Gulf Breeze, Florida, licensed in Florida (ME129054) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104267871
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA R TATECredential: MD
Location Address15 DANIEL DRGulf Breeze, FL 32561-4418
Mailing Address15 Daniel Dr Fl 1Gulf Breeze, FL 32561-4418 · (850) 746-0280 · Fax (850) 764-0281
Phone(850) 746-0280
Fax(850) 746-0281
Sole ProprietorYes
Enumeration DateJuly 10, 2013
Last NPPES UpdateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1104267871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME129054
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15 DANIEL DR, Gulf Breeze, FL 32561
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica R Tate Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Tate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sacred Heart Hospital Of Pensacola
7.8 mi
Adult Care Home
4451 BAYOU BLVD
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Sacred Heart Health System Inc
  • 446 clinicians in this Medicare group
NPI 1952352304 (850) 475-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32561 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE SEIPEL CRAWFORD MD
Pediatrics
15 DANIEL DR
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5348
SACRED HEART MEDICAL GROUP
Pediatrics
15 DANIEL DR
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5348

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 Jessica Tate's NPI number?

The NPI number for Jessica Tate is 1104267871. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Jessica Tate located?

Jessica Tate practices at 15 Daniel Dr, Gulf Breeze, FL 32561. The listed phone number is (850) 746-0280.

What is Jessica Tate's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Tate enrolled in Medicare?

Yes. Jessica Tate is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Tate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Tate reassigns Medicare benefits to Sacred Heart Hospital Of Pensacola (Pensacola, FL). The 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 Jessica Tate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Tate accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Jessica Tate 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 Jessica Tate was last updated on February 18, 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.