OKALOOSA CARDIOLOGY P A
NPI 1144270240
Internal Medicine - Cardiovascular Disease in Crestview, FL
About Okaloosa Cardiology P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OKALOOSA CARDIOLOGY P A (NPI 1144270240) is a healthcare organization registered as a cardiovascular disease in Crestview, Florida and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Donna M Gibson, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
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)
Okaloosa Cardiology P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Okaloosa Cardiology P A, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0976637
Okaloosa Cardiology PA · Crestview, FLCertificate of Waiver 10D2121624
Okaloosa Cardiology PA Okaloosa Heart And Vascular Center · Defuniak Springs, FLFrequently 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 Okaloosa Cardiology P A's NPI number?
The NPI number for Okaloosa Cardiology P A is 1144270240. It was assigned to this organization in the NPPES registry on May 11, 2006.
Where is Okaloosa Cardiology P A located?
Okaloosa Cardiology P A is located at 129 E Redstone Ave Suite A, Crestview, FL 32539. The listed phone number is (850) 682-7212.
What is Okaloosa Cardiology P A's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Okaloosa Cardiology P A enrolled in Medicare?
Yes. Okaloosa Cardiology P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Okaloosa Cardiology P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Okaloosa Cardiology P A. 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 (7), Cardiovascular Disease (Cardiology) (5) and Cardiac Electrophysiology (4). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Okaloosa Cardiology P A hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Okaloosa Cardiology P A accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Okaloosa Cardiology P A 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 Okaloosa Cardiology P A was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Okaloosa Cardiology P A · NPI 1144270240
Cardiovascular Disease organization in Crestview, Florida. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1144270240 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Donna Gibson, BILLING MANAGER
## Practice location
- **Address:** 129 E REDSTONE AVE, SUITE A, Crestview, FL 32539-5350
- **Phone:** (850) 682-7212
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Cardiovascular Disease (Cardiology) (5), Cardiac Electrophysiology (4); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 24136 (FL); Medicaid 258928100 (FL)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144270240) · Data from the CMS NPPES public registry.