RATTANAVALEE JANSOD HAVLAT APRN
NPI 1124761093
Nurse Practitioner - Adult Health in Fort Walton Beach, FL

Q: What is Rattanavalee Havlat's NPI number?

The NPI number for Rattanavalee Havlat is 1124761093. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Rattanavalee Havlat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since April 18, 2022PECOS Enrolled

1118 HOSPITAL RD, FORT WALTON BEACH, FL 32547(850) 862-3415 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2025, Mar 2, 2023, Apr 18, 2022 (3 updates tracked since 2022).

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About Rattanavalee Jansod Havlat Aprn NPPES

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

RATTANAVALEE JANSOD HAVLAT APRN (NPI 1124761093) is an individual adult health provider in Fort Walton Beach, Florida, licensed in Florida (APRN11018735) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124761093

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameRATTANAVALEE JANSOD HAVLATCredential: APRN

Location Address1118 HOSPITAL RDFort Walton Beach, FL 32547-6742

Mailing Address1118 Hospital RdFort Walton Beach, FL 32547-6742 · (850) 862-3415

Phone(850) 862-3415

Sole ProprietorYes

Enumeration DateApril 18, 2022

Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1124761093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11018735

1118 HOSPITAL RD, Fort Walton Beach, FL 32547

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rattanavalee Jansod Havlat Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

99%631 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%513 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SAINT GEORGE MEDICAL CENTER INC

Family Medicine (Geriatric Medicine)

1118 HOSPITAL RD
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 862-3415

MRS. BRENDA ANAIS RAMIREZ NURSE PRACTITIONER

Nurse Practitioner (Family)

1118 HOSPITAL RD
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 862-3415

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 Rattanavalee Havlat's NPI number?

The NPI number for Rattanavalee Havlat is 1124761093. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Rattanavalee Havlat located?

Rattanavalee Havlat practices at 1118 Hospital Rd, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-3415.

What is Rattanavalee Havlat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Rattanavalee Havlat enrolled in Medicare?

Yes. Rattanavalee Havlat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rattanavalee Havlat was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.