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DYNAMIC PAIN & WELLNESS LLC
NPI 1285007989
Anesthesiology in Fort Walton Beach, FL

Active since November 04, 2015CLIA 10D2107566 · Accreditation
930 MARWALT DR, UNIT C, FORT WALTON BEACH, FL 32547(850) 226-6801(877) 413-5104 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2026, Jan 20, 2016 (2 updates tracked since 2016).

About Dynamic Pain & Wellness Llc NPPES

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

DYNAMIC PAIN & WELLNESS LLC (NPI 1285007989), doing business as Dynamic Pain & Wellness Pllc, is a healthcare organization registered as an anesthesiology in Fort Walton Beach, Florida and active in the NPI registry since November 2015. The organization holds an CLIA Accreditation certificate valid through March 24, 2028 and lists Mathew Mccune, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285007989
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameDYNAMIC PAIN & WELLNESS LLC
Location Address930 MARWALT DR, UNIT CFort Walton Beach, FL 32547-6706
Mailing Address930 Marwalt Drive, Suite CFort Walton Beach, FL 32547 · (850) 226-6801 · Fax (877) 413-5104
Phone(850) 226-6801
Fax(877) 413-5104
Organization SubpartNo
Authorized OfficialMathew MccuneCeo · (850) 502-3310
Enumeration DateNovember 4, 2015
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1285007989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
930 MARWALT DR, UNIT C, Fort Walton Beach, FL 32547
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Other Names 1

Former Legal Business NameDynamic Pain & Wellness Pllc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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)

Dynamic Pain & Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Dynamic Pain & Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner20
Pain Management6
Anesthesiology3

Nearest to this location (20)

See all 29
Carmen Alston
Nurse Practitioner
NPI 1497254791
930 MAR WALT DR C
Fort Walton Beach, FL 32547
(850) 226-6801
✔ PECOS✔ Accepts MedicareSame address
Mathew Mccune, M.D.
Anesthesiology
NPI 1457493611
930 MAR WALT DRIVE C
Fort Walton Beach, FL 32547
(850) 226-6801
✔ PECOS✔ Accepts MedicareSame address
Kimberly Grossman, FNP
Nurse Practitioner
NPI 1528582434
341 RACETRACK RD NW STE B
Fort Walton Beach, FL 32547
(850) 226-8290
✔ PECOS✔ Accepts Medicare0.3 mi
Staci Duncan, APRN
Nurse Practitioner
NPI 1922804848
101 DEFIANCE DR
Destin, FL 32541
(936) 585-3215
✔ PECOS✔ Accepts Medicare10 mi
Tanya Jenkins, FNP
Nurse Practitioner
NPI 1548726136
210 S MAIN ST
Crestview, FL 32536
(850) 226-6801
✔ PECOS✔ Accepts Medicare21 mi
Gabriella Jones
Nurse Practitioner
NPI 1396696266
210 S MAIN ST
Crestview, FL 32536
(850) 226-6801
✔ PECOS✔ Accepts Medicare21 mi
Mandy Ilnyckyj, APRN
Nurse Practitioner
NPI 1720566482
302 E JAMES LEE BLVD
Crestview, FL 32539
(850) 682-1002
✔ PECOS22 mi
Ryan Vaughn, FNP
Nurse Practitioner
NPI 1407270242
6044 DOCTORS PARK
Milton, FL 32570
(850) 226-6801
✔ PECOS✔ Accepts Medicare29 mi
Cintia Dalbem, FNP
Nurse Practitioner
NPI 1538009154
5111 N 12TH AVE
Pensacola, FL 32504
(850) 226-6801
✔ PECOS34 mi
Ralyn Noland, FNP-C
Nurse Practitioner
NPI 1174346357
5111 N 12TH AVE
Pensacola, FL 32504
(850) 226-6801
✔ PECOS✔ Accepts Medicare34 mi
Kunal Parmar
Pain Management
NPI 1205452091
5111 N 12TH AVE
Pensacola, FL 32504
(850) 226-6801
✔ PECOS✔ Accepts Medicare34 mi
Christopher Middendorf, D.O.
Anesthesiology
NPI 1154593259
1549 AIRPORT BLVD SUITE 430
Pensacola, FL 32504
(850) 416-2686
✔ PECOS✔ Accepts Medicare35 mi
Brittany Justice, ARNP
Nurse Practitioner
NPI 1457085813
8383 N DAVIS HWY
Pensacola, FL 32514
(850) 260-9779
✔ PECOS✔ Accepts Medicare35 mi
Ryan Durkin, MD
Anesthesiology
NPI 1609034594
1851 SAINT MARY AVE
Pensacola, FL 32501
(850) 226-6801
✔ PECOS✔ Accepts Medicare36 mi
Justin Tokorcheck, M.D., M.S.
Pain Management
NPI 1629338348
1851 SAINT MARY AVE
Pensacola, FL 32501
(850) 226-6801
✔ PECOS✔ Accepts Medicare36 mi
Baker Mitchell, MD
Pain Management
NPI 1932113735
100 N RICHARD JACKSON BLVD STE 120
Panama City Beach, FL 32407
(850) 226-6801
✔ PECOS✔ Accepts Medicare52 mi
Navjot Singh, MD
Pain Management
NPI 1215517081
2110 W 23RD ST STE C
Panama City, FL 32405
(850) 226-6801
✔ PECOS59 mi
Arian Suarez Valderas
Nurse Practitioner
NPI 1881567642
2110 W 23RD ST STE A
Panama City, FL 32405
(850) 226-6801
✔ PECOS✔ Accepts Medicare59 mi
Caroline Windham, APRN
Nurse Practitioner
NPI 1407685423
802 SKYLAND AVE
Panama City, FL 32401
(334) 618-5385
✔ PECOS✔ Accepts Medicare61 mi
Robert Sutherland, MD
Pain Management
NPI 1033112933
1924K DAUPHIN ISLAND PKWY
Mobile, AL 36605
(850) 226-6801
✔ PECOS✔ Accepts Medicare88 mi
See all 29 clinicians

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

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 Accreditation 10D2107566

Dynamic Pain & Wellness · Crestview, FL
Active · expires Mar 24, 2028
CLIA Number10D2107566
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. Tucker Greene
Laboratory Phone(850) 226-6801
Laboratory LocationDynamic Pain & Wellness210 South Main Street, Crestview, FL 32536
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Dynamic Pain & Wellness LLC's NPI number?

The NPI number for Dynamic Pain & Wellness LLC is 1285007989. It was assigned to this organization in the NPPES registry on November 4, 2015. The provider was formerly known as Dynamic Pain & Wellness PLLC.

Where is Dynamic Pain & Wellness LLC located?

Dynamic Pain & Wellness LLC is located at 930 Marwalt Dr, Unit C, Fort Walton Beach, FL 32547. The listed phone number is (850) 226-6801.

What is Dynamic Pain & Wellness LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Dynamic Pain & Wellness LLC enrolled in Medicare?

Yes. Dynamic Pain & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dynamic Pain & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 3 Medicare specialties reassign their Medicare billing to Dynamic Pain & Wellness LLC. 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 (20), Pain Management (6) and Anesthesiology (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dynamic Pain & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2107566) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dynamic Pain & Wellness LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Dynamic Pain & Wellness LLC 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 Dynamic Pain & Wellness LLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.