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CAROLYN ANN SPACE CNP
NPI 1336553585
Nurse Practitioner in Eglin, FL

Active since June 16, 2014PECOS Enrolled
96 MDG, 307 BOATNER ROAD, EGLIN, FL 32542(850) 883-9957 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 24, 2018, Dec 13, 2017, Jan 25, 2016 (3 updates tracked since 2016).

About Carolyn Ann Space Cnp NPPES

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

CAROLYN ANN SPACE CNP (NPI 1336553585) is an individual nurse practitioner in Eglin, Florida, licensed in Florida (ARNP9457268) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336553585
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLYN ANN SPACECredential: CNP
Location Address96 MDG, 307 BOATNER ROADEglin, FL 32542
Mailing Address96mdg, 307 Boatner Road Attn: CredentialsEglin, FL 32542 · (850) 883-9957
Phone(850) 883-9957
Sole ProprietorNo
Enumeration DateJune 16, 2014
Last NPPES UpdateSeptember 24, 20183 updates tracked since enumeration
✔ NPI 1336553585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9457268
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

96 MDG, Eglin, FL 32542
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Ann Space Cnp 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 32542 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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers18 claims18 services$36.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers29 claims29 services$79.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers28 claims80 services$31.56 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims58 services$12.77 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers14 claims14 services$52.26 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers23 claims23 services$17.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

AARON TURCOTTE HENDERSON D.O.
Internal Medicine (Hematology & Oncology)
96 MDG, 307 BOATNER ROAD
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9957

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 Carolyn Space's NPI number?

The NPI number for Carolyn Space is 1336553585. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Carolyn Space located?

Carolyn Space practices at 96 Mdg 307 Boatner Road, Eglin, FL 32542. The listed phone number is (850) 883-9957.

What is Carolyn Space's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carolyn Space enrolled in Medicare?

Yes. Carolyn Space is registered in the Medicare PECOS enrollment system.

What insurance does Carolyn Space accept?

Health plans from Anthem Blue Cross and Blue Shield list Carolyn Space 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 Carolyn Space was last updated on September 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.